Individual
MRS. JENNIFER MIZZELL SYLESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
208 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 249-0943
Mailing address
465 HEASLETTS VIEW LN, CHILDERSBURG, AL 35044-5317
(256) 510-0248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05180582
AL
Other
Enumeration date
11/13/2018
Last updated
01/16/2019
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