Individual
JEWEL LEIGH KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9288 STOUTS RD, KIMBERLY, AL 35091-2005
(205) 368-5972
Mailing address
298 BOWERMAN RD, BLOUNTSVILLE, AL 35031-4440
(205) 368-5972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097819
AL
Other
Enumeration date
08/08/2012
Last updated
03/10/2022
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