Individual
JO ANNA LEA MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 JAMES HOVATER RD, RUSSELLVILLE, AL 35653-8004
(256) 332-6208
(256) 332-6213
Mailing address
PO BOX 626, RUSSELLVILLE, AL 35653-0626
(256) 332-6208
(256) 332-6213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-090589
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
GROUP NPI
AL
01
—
NPI
1316289903
AL
Enumeration date
03/21/2013
Last updated
12/16/2014
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