Individual
MIRACLE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6 MEDICAL PARK N, VALLEY, AL 36854-3601
(334) 756-8043
(334) 756-8059
Mailing address
6 MEDICAL PARK N, VALLEY, AL 36854-3601
(334) 756-8043
(334) 756-8059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3001882
AL
363LF0000X
Family Nurse Practitioner
Primary
RN276970
GA
Other
Enumeration date
07/11/2024
Last updated
01/16/2025
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