Individual
KELTIN JIMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
104 MEDICAL DR # 104, DOTHAN, AL 36303-6902
(334) 671-9447
(334) 836-0059
Mailing address
595 JONES RD, NEWTON, AL 36352-8072
(334) 796-3206
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-162676
AL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
02/24/2022
Last updated
04/25/2025
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