Individual
JONATHAN BORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1084
(205) 934-3411
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1084
(205) 934-3411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-132640
AL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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