Individual
MRS. JENNA CLARY HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 23RD ST NW, FAYETTE, AL 35555-1001
(205) 270-6653
Mailing address
110 23RD ST NW, FAYETTE, AL 35555-1001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143338
AL
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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