Individual
JENNEFER JEANETTE NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6917 COLONIAL TER, MOBILE, AL 36618-4537
(251) 458-7217
Mailing address
6917 COLONIAL TER, MOBILE, AL 36618-4537
(251) 458-7217
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
AL
172A00000X
Driver
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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