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Individual

JOANNA LEE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
101 E BRUNSON ST STE 200, ENTERPRISE, AL 36330-2500
(334) 393-3686
(334) 347-4096
Mailing address
101 E BRUNSON ST, STE 200, ENTERPRISE, AL 36330-2500
(334) 347-0584

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105643
AL

Other

Enumeration date
06/01/2012
Last updated
06/18/2019
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