Individual
JESSI MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
3952 SYDNEY TRL, BIRMINGHAM, AL 35211-7081
(850) 642-3542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-186508
AL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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