Individual
MIALI PRAYTOR JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2708 HIGHWAY 78 E, JASPER, AL 35501-3430
(205) 387-2253
Mailing address
2708 HIGHWAY 78 E, JASPER, AL 35501-3430
(205) 387-2253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-153373
AL
363LA2100X
Acute Care Nurse Practitioner
1-153373
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-153373
AL
Other
Enumeration date
03/07/2019
Last updated
06/29/2023
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