Individual
NAKASHA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 19TH ST SOUTH, BIRMINGHAM, AL 35233
(205) 934-5653
Mailing address
12316 CHOCTAW CIR, MOUNDVILLE, AL 35474-6239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-178499
AL
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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