Individual
JILL CASON ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNRP
Contact information
Practice address
301 MEDICAL AVE, SUITE A, ANDALUSIA, AL 36420-1103
(334) 222-1366
(334) 222-1150
Mailing address
301 MEDICAL AVE, SUITE A, ANDALUSIA, AL 36420-1103
(334) 222-1366
(334) 222-1150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-069423
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-069423
AL LICENSE
—
01
—
511-62253
BCBS
AL
Enumeration date
05/17/2007
Last updated
08/10/2015
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