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Individual

MRS. JOANNA MAE HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(602) 296-5540
(602) 296-5442
Mailing address
PO BOX 1045, PHENIX CITY, AL 36868-1045
(334) 291-5255
(887) 395-0710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-113269
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-113269
ALABAMA BOARD OF NURSING
AL
01
223081
NP STATE LICENSE
AZ
Enumeration date
04/05/2018
Last updated
11/25/2019
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