Individual
MARY JANE RICHMAN GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 934-3795
(205) 975-2499
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 934-3795
(205) 975-2499
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-093639
AL
Other
Enumeration date
01/02/2009
Last updated
12/30/2019
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