Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
DAJUNA LYNN TATOM CRNP (NURSE PRACTITIONER)
(334) 335-2471
Entity
Organization
Contact information
Practice address
15 HOSPITAL RD., CRENSHAW CO. HEALTH DEPT, LUVERNE, AL 36049
(334) 335-2471
(334) 335-3795
Mailing address
15 HOSPITAL RD., CRENSHAW CO. HEALTH DEPT, LUVERNE, AL 36049
(334) 335-2471
(334) 335-3795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-059257
AL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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