Individual
JESSICA NICOLE BEAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 LEE BOY RD, NEWTON, AL 36352-8003
(850) 658-4076
Mailing address
605 LEE BOY RD, NEWTON, AL 36352-8003
(850) 658-4076
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1-154938
AL
363LF0000X
Family Nurse Practitioner
Primary
1-154938
AL
Other
Enumeration date
02/09/2023
Last updated
05/17/2023
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