Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
MRS. JANET LEA BALLINGER CRNP (NURSE PRACTITIONER)
(256) 837-3502
Entity
Organization
Contact information
Practice address
301 MAX LUTHER DRIVE, HUNTSVILLE, AL 35811-1724
(256) 539-3711
(256) 536-2084
Mailing address
P.O. BOX 17708, 301 MAX LUTHER DRIVE, HUNTSVILLE, AL 35811-1724
(256) 539-3711
(256) 536-2084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-054359
AL
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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