Individual
MR. JEFF WAYNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
104 BULLOCK DR, UNION SPRINGS, AL 36089-6562
(334) 738-5625
Mailing address
104 BULLOCK DR, UNION SPRINGS, AL 36089-6562
(334) 738-5625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-065526
AL
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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