Individual
MRS. JAMIE CREAR PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 CROWN RIDGE DR, SELMA, AL 36701-6817
(334) 267-0769
Mailing address
107 CROWN RIDGE DR, SELMA, AL 36701-6817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025096913
AL
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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