Individual
MRS. JAMIE HOWARD PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010-3369
(256) 329-7308
Mailing address
12761 HIGHWAY 22 EAST, NEW SITE, AL 36256-0939
(256) 392-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102855
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-102855
LICENCE NUMBER
AL
Enumeration date
10/10/2016
Last updated
03/18/2021
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