Individual
JANE CONDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 4TH AVE S, SUITE M220, BIRMINGHAM, AL 35233-1723
(205) 638-9072
(205) 975-7080
Mailing address
703 VOLKER HL, SUITE M220, BIRMINGHAM, AL 35294-0001
(205) 934-3795
(205) 975-8991
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-055840
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-055840
BOARD OF NURSING
AL
Enumeration date
09/23/2015
Last updated
02/03/2016
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