Individual
JAIME LEIGHANN CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2422 DANVILLE RD SW STE E, DECATUR, AL 35603-4221
(256) 355-9040
Mailing address
2422 DANVILLE RD SW STE E, DECATUR, AL 35603-4221
(256) 355-9040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-100008
AL
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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