person
Jill Michelle Beam, PA
Medical Physician Assistant in Northport, Alabama
NPI 1952673568

Jill Michelle Beam is a Medical Physician Assistant based in Tuscaloosa, AL and is specialized in Medical. Jill Michelle Beam practices in Northport, AL and has the professional credentials of PA. The NPI Number for Jill Michelle Beam is 1952673568 and holds a License No. PA.787 (Alabama).

The current practice location address for Jill Michelle Beam is 4520 Watermelon Rd, Northport, AL and can be reached out via phone at 205-752-7443 and via fax at 205-556-8868.

Location: 4520 Watermelon Rd, Northport, AL, 35401-5235
person
Provider Profile Details
NPI Number
1952673568
Provider Name
Jill Michelle Beam
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4520 Watermelon Rd, Northport, AL, 35401-5235
Phone Number
205-752-7443
Fax Number
205-556-8868
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA.787 01 AL PA LICENSE
institution
Provider Business Practice Location Address Details
Address
4520 Watermelon Rd
City
State
Zip
35473-5246
Phone Number
205-752-7443
Fax Number
205-556-8868
person
Provider Business Mailing Address Details
Address
4520 Watermelon Rd
City
State
Zip
35473-5246
Phone Number
205-752-7443
Fax Number
205-556-8868
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.787 (Alabama)
Definition
Definition to come...
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