Individual
JESSICA SWANSON GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 1ST AVE, OPELIKA, AL 36801-5403
(334) 745-3534
(334) 745-3535
Mailing address
3023 MCKINLEY DR, OPELIKA, AL 36804-7666
(334) 759-0108
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1-146272
AL
363LA2100X
Acute Care Nurse Practitioner
GAA-NP001527
GA
Other
Enumeration date
06/16/2022
Last updated
07/31/2024
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