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Individual

JARED L CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
708 WILL HALSEY WAY STE A, MADISON, AL 35758-2566
(256) 325-7425
Mailing address
708 WILL HALSEY WAY STE A, MADISON, AL 35758-2566
(256) 325-7425

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-109689
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206070
AL
Enumeration date
03/24/2014
Last updated
08/24/2020
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