Individual
JONIE LYNN CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1527
(334) 280-1591
Mailing address
2343 SANSONE RD, MONTGOMERY, AL 36116-1222
(334) 201-1991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-117571
AL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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