Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
JANICE R. MCINNIS C.R.N.P. (NURSE PRACTITIONER)
(334) 297-0251
Entity
Organization
Contact information
Practice address
1850 CRAWFORD RD, PHENIX CITY, AL 36867-0548
(334) 297-0251
(334) 291-5478
Mailing address
PO BOX 548, 1850 CRAWFORD ROAD, PHENIX CITY, AL 36867-0548
(334) 297-0251
(334) 291-5478
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-017420
AL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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