Individual
JENNIFER LASHAY GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2682
Mailing address
PO BOX 1108, CULLMAN, AL 35056-1108
(256) 737-2682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-136462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-136462
RN LICENSE
AL
Enumeration date
01/13/2021
Last updated
01/13/2021
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