Individual
MRS. JENNIFER GRACE PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
339 WALKER CHAPEL PLZ STE 115, FULTONDALE, AL 35068-3402
(205) 250-6424
Mailing address
708 47TH WAY S, BIRMINGHAM, AL 35222-3436
(904) 315-1664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-190608
AL
Other
Enumeration date
01/15/2024
Last updated
09/30/2025
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