Individual
JOSHUA WAYNE BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7122
Mailing address
233 BLUE WATER POINTE DR, JASPER, AL 35504-4075
(205) 387-4148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-159330
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224805
—
AL
Enumeration date
10/15/2019
Last updated
05/22/2020
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