Individual
JONATHON AARON FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(318) 347-4364
Mailing address
16394 EVARARD CIR NW, HARVEST, AL 35749-5101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-167371
AL
Other
Enumeration date
08/14/2023
Last updated
02/16/2024
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