Individual
JARED KEITH KNIGHTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP PMHNP-BC
Contact information
Practice address
7125 UNIVERSITY CT, MONTGOMERY, AL 36117-8016
(334) 239-2622
(334) 625-7602
Mailing address
6505 JUNIPER TREE LN, MONTGOMERY, AL 36117-4400
(205) 529-0817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-130736
AL
Other
Enumeration date
02/02/2023
Last updated
10/21/2024
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