Individual
TAVA NANETTE JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4100 GOSS RD, REDSTONE ARSENAL, AL 35809-7000
(256) 955-8888
Mailing address
4100 GOSS RD, REDSTONE ARSENAL, AL 35809-7000
(256) 955-8888
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1-050665
AL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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