Individual
JOHRNEE NICOLE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1481
AL
363AM0700X
Medical Physician Assistant
Primary
PA.1481
AL
Other
Enumeration date
08/16/2019
Last updated
08/19/2019
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