Individual
JEREMY KEITH URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1103 16TH AVE SE, DECATUR, AL 35601
(256) 350-0362
(256) 355-9779
Mailing address
14606 LONG COVE DR, ATHENS, AL 35613-8174
(256) 702-7338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-141602
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-141602
CRNP
AL
Enumeration date
07/11/2017
Last updated
07/30/2025
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