Individual
MS. MIRANDA SHAE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
35 WILLOW LN, JASPER, AL 35503-6122
(205) 717-6050
(205) 892-9272
Mailing address
35 WILLOW LN, JASPER, AL 35503-6122
(205) 717-6050
(205) 892-9272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-156251
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-156251
AL
Other
Enumeration date
04/16/2020
Last updated
11/26/2024
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