Individual
MRS. MICHELLE LEIGH JTINEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
300 SUN TEMPLE DR, MADISON, AL 35758-5919
(256) 325-9111
(256) 325-9113
Mailing address
300 SUN TEMPLE DR, MADISON, AL 35758-5919
(256) 325-9111
(256) 325-9113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-087946
AL
Other
Enumeration date
02/06/2013
Last updated
05/08/2024
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