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Bl Wadsworth Llc
Psychiatric/Mental Health Nurse Practitioner in Jasper, Alabama
NPI 1093252751

Bl Wadsworth Llc is a Psychiatric/Mental Health Nurse Practitioner based in Jasper, AL and is specialized in Psychiatric/Mental Health. Bl Wadsworth Llc practices in Jasper, AL. The NPI Number for Bl Wadsworth Llc is 1093252751 and holds a License No. AP9706 (Alabama).

The current practice location address for Bl Wadsworth Llc is 1511 Alabama Ave, Jasper, AL and can be reached out via phone at 205-295-1001 and via fax at 205-295-1005.

Location: 1511 Alabama Ave, Jasper, AL, 35501-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093252751
Provider Name
Bl Wadsworth Llc
Credential
Provider Entity Type
Organization
Address
1511 Alabama Ave, Jasper, AL, 35501-4717
Phone Number
205-295-1001
Fax Number
205-295-1005
Provider Enumeration Date
01/19/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1511 Alabama Ave
City
Jasper
State
Alabama
Zip
35501-4717
Phone Number
205-295-1001
Fax Number
205-295-1005
person
Provider Business Mailing Address Details
Address
1511 Alabama Ave
City
Jasper
State
Alabama
Zip
35501-4717
Phone Number
205-295-1001
Fax Number
205-295-1005
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP9706 (Arizona)
Definition
Definition to come...
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