Individual
JOSEPHINE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-029143
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051548402
BCBS
AL
01
—
051548403
BCBS
AL
05
—
101375
—
AL
05
—
101376
—
AL
05
—
101422
—
AL
01
—
P00793001
RAILROAD MEDICARE
AL
Enumeration date
04/28/2008
Last updated
07/05/2011
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