Individual
MELINDA GAYLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-059442
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1059442
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051520910
BCBS
AL
05
—
891007400
—
AL
Enumeration date
08/08/2006
Last updated
02/01/2024
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