Individual
DR. JESSICA NICOLE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JT727 619 19TH ST S, BIRMINGHAM, AL 35294
(205) 934-7170
(205) 934-6507
Mailing address
JT727 619 19TH ST S, BIRMINGHAM, AL 35294-3410
(205) 934-7170
(205) 934-6507
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
077547
GA
207T00000X
Neurological Surgery Physician
Primary
36876
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2010
Last updated
02/01/2024
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