Individual
JASON BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
25442 AL HIGHWAY 127, ELKMONT, AL 35620-6608
(256) 732-3712
(256) 732-3714
Mailing address
25442 AL HIGHWAY 127, ELKMONT, AL 35620-6608
(256) 732-3712
(256) 732-3714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1087527
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-087527
ALABAMA BOARD OF NURSING
AL
Enumeration date
06/22/2006
Last updated
12/04/2014
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