Individual
JOHNNIE ISIOMA AMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2616 JORDAN LN NW, HUNTSVILLE, AL 35816-1014
(256) 851-8433
(256) 851-6080
Mailing address
2616 JORDAN LN NW, HUNTSVILLE, AL 35816-1014
(256) 851-8433
(256) 851-6080
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-115309
AL
Other
Enumeration date
10/04/2017
Last updated
12/14/2021
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