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Individual

DAVID JUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
42024 HIGHWAY 195, HALEYVILLE, AL 35565-7054
(205) 486-5213
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-067616
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000073795
AL
01
051506318
BLUECROSS
AL
Enumeration date
07/13/2006
Last updated
02/22/2012
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