Individual
JESSIE L LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
1909 COMMERCE AVE, P.O. BOX 2186, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-083861
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
08/18/2008
Last updated
08/18/2008
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