Individual
JESSICA ENTREKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6452
(256) 880-0455
Mailing address
400 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6452
(256) 880-0455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122465
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/16/2013
Last updated
08/19/2013
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