Individual
JENNIFER JO BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
133 HEATHERWOOD DR, MADISON, AL 35758-8259
(256) 348-5147
(245) 970-4161
Mailing address
133 HEATHERWOOD DR, MADISON, AL 35758-8259
(256) 348-5147
(256) 970-4161
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-074009 (PENDING)
AL
Other
Enumeration date
04/14/2011
Last updated
03/24/2015
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