Individual
MRS. JENNIFER L MCNEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
73 LONG STREET, MILLRY, AL 36558
(251) 846-3233
(251) 846-3224
Mailing address
PO BOX 465, MILLRY, AL 36558-0465
(251) 846-3233
(251) 846-3224
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-096789
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008450553
—
MS
05
—
03521065
—
MS
05
—
137329
—
AL
05
—
137616
—
AL
01
—
51593390
BCBS - 1707 CENTER ST
AL
Enumeration date
08/13/2008
Last updated
03/28/2025
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