Individual
SHIRLEY JEAN MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, HEALTH EDUCATOR
Contact information
Practice address
1902 HACKBERRY LN, TUSCALOOSA, AL 35401-4922
(833) 855-5777
Mailing address
1013 ORCHARD MILL RD, COTTONDALE, AL 35453-1457
(205) 799-9886
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174H00000X
RN, HEALTH EDUCATOR
AL
Enumeration date
05/09/2019
Last updated
05/09/2019
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