Individual
J DENNIS BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4704 CAHABA RIVER RD, SUITE 101D, BIRMINGHAM, AL 35243-2344
(205) 739-2266
(205) 739-2335
Mailing address
1919 OXMOOR RD, STE 276, HOMEWOOD, AL 35209-3502
(205) 879-8294
(205) 879-8259
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-032598
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051505975
BLUE CROSS
AL
05
—
051551257
—
AL
01
—
07501759
MISSISSIPPI MEDICAID
MS
01
—
500021680
RAILROAD MEDICARE
AL
Enumeration date
07/20/2006
Last updated
03/14/2017
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