Individual
NORMA FAYE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-088605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-088605
CRNP LICENSE
AL
Enumeration date
02/22/2011
Last updated
02/22/2011
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