Individual
MARY JORDAN CONZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HIGHWAY 280 S STE 212, MOUNTAIN BRK, AL 35223-2468
(205) 878-4368
Mailing address
3345 MOUNTAINSIDE RD, VESTAVIA, AL 35243-5012
(251) 508-7571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-181941
AL
363LF0000X
Family Nurse Practitioner
Primary
1-181941
AL
Other
Enumeration date
09/26/2022
Last updated
10/19/2024
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