Individual
MRS. JANA WATSON VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06693
NC
363A00000X
Physician Assistant
Primary
1511
AL
Other
Enumeration date
09/08/2016
Last updated
05/25/2023
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