Individual
JEREMY BLAKE TRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-0000
Mailing address
2106 BUCKINGHAM DR SW, HUNTSVILLE, AL 35803-2018
(256) 400-9444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-176633
AL
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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