Individual
MRS. JENNA RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
48 MEDICAL PARK DR E STE 350, BIRMINGHAM, AL 35235-3466
(270) 300-6674
Mailing address
248 KENT LN, BIRMINGHAM, AL 35209-6539
(270) 300-6674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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