Individual
MRS. JESSICA TUCKER PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7890
Mailing address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-115587
AL
Other
Enumeration date
03/23/2020
Last updated
06/29/2023
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