Individual
JACQUELINE DAWN FOCHTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
208 PIERSON AVE, CENTREVILLE, AL 35042-2918
(205) 926-3288
Mailing address
5885 HIGHWAY 82, CENTREVILLE, AL 35042-5713
(205) 337-3949
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1-114223
AL
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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