Individual
JENIFER D. NOBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 396-6930
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2569
GA
367H00000X
Anesthesiologist Assistant
Primary
AA-831
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-38482
BCBS OF AL
AL
Enumeration date
10/04/2005
Last updated
07/08/2007
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