Organization
JEFFERSON COUNTY BOARD OF HEALTH
Active
Other names
Jefferson County Health Dept Central Nurse Practitioner
Organization subpart
No
Provider details
NPI number
Authorized official
SHEWANDA CLARK (REVENUE INTEGRITY SUPERVISOR)
(205) 558-2158
Entity
Organization
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233
(205) 933-9110
(205) 930-1156
Mailing address
PO BOX 2648, BIRMINGHAM, AL 35202-2648
(205) 933-9110
(205) 930-1156
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227300000
—
AL
Enumeration date
12/13/2006
Last updated
02/12/2019
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