Individual
MRS. JESSICA ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2065 E SOUTH BLVD STE 201, MONTGOMERY, AL 36116-2460
(334) 747-7250
(334) 747-7270
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-120441
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101I507711
MEDICARE
AL
05
—
172603
—
AL
Enumeration date
03/04/2013
Last updated
01/05/2023
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