Individual
JEWELIA GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
159 MAIN ST, TRUSSVILLE, AL 35173-1435
(205) 655-2110
Mailing address
159 MAIN ST, TRUSSVILLE, AL 35173-1435
(205) 655-2110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-159555
AL
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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