Individual
JESSICA LEE GILLILAN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S BLDG SUITE516, BIRMINGHAM, AL 35233
(205) 638-9781
(205) 975-7051
Mailing address
1153 AL HIGHWAY 205, BOAZ, AL 35956-5413
(256) 572-2791
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-105098
AL
Other
Enumeration date
04/05/2011
Last updated
06/11/2018
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