Individual
MRS. SUSANNA HOPE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
919 ODUM RD, GARDENDALE, AL 35071-3600
(865) 643-2221
Mailing address
6404 GLENVIEW CIR, GARDENDALE, AL 35071-2102
(865) 643-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-162570
AL
Other
Enumeration date
04/15/2022
Last updated
05/01/2025
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