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Individual

MRS. JOHNNIE B WHITED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-3260
(205) 783-7252
Mailing address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211
(205) 783-3260
(205) 783-7252

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-022427
AL

Other

Enumeration date
01/22/2013
Last updated
01/22/2013
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