person
Jan Marie Kennedy, CRNP
Family Nurse Practitioner in Decatur, Alabama
NPI 1730139098

Jan Marie Kennedy is a Family Nurse Practitioner based in Decatur, AL and is specialized in Family. Jan Marie Kennedy practices in Decatur, AL and has the professional credentials of CRNP. The NPI Number for Jan Marie Kennedy is 1730139098 and holds a License No. 1076407 (Alabama).

The current practice location address for Jan Marie Kennedy is 1813 Beltline Rd Sw, Decatur, AL and can be reached out via phone at 256-353-6874 and via fax at 256-260-0594.

Location: 1813 Beltline Rd Sw, Decatur, AL, 35601-0689
person
Provider Profile Details
NPI Number
1730139098
Provider Name
Jan Marie Kennedy
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1813 Beltline Rd Sw, Decatur, AL, 35601-0689
Phone Number
256-353-6874
Fax Number
256-260-0594
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-076407 01 AL ALABAMA LICENSE
51533376 01 AL BCBS
institution
Provider Business Practice Location Address Details
Address
1813 Beltline Rd Sw
City
State
Zip
35601-5506
Phone Number
256-353-6874
Fax Number
256-260-0594
person
Provider Business Mailing Address Details
Address
1813 Beltline Rd Sw
City
State
Zip
35601-5506
Phone Number
256-353-6874
Fax Number
256-260-0594
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1076407 (Alabama)
Definition
Definition to come...
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