person
Jennivie Shaunette Latham-hickman, FAMILYNP
Family Nurse Practitioner in Madison, Alabama
NPI 1962747071

Jennivie Shaunette Latham-hickman is a Family Nurse Practitioner based in Madison, AL and is specialized in Family. Jennivie Shaunette Latham-hickman practices in Madison, AL and has the professional credentials of FAMILYNP. The NPI Number for Jennivie Shaunette Latham-hickman is 1962747071 and holds a License No. 1-098043 (Alabama).

The current practice location address for Jennivie Shaunette Latham-hickman is 101 Westover Cir, Madison, AL and can be reached out via phone at 256-461-0209 and via fax at 256-325-3147. You can also correspond with Jennivie Shaunette Latham-hickman through the mailing address at 101 WESTOVER CIR, MADISON, AL - 35758-4900 (mailing address contact number: 256-461-0209).

Location: 101 Westover Cir, Madison, AL, 35758-4900
person
Provider Profile Details
NPI Number
1962747071
Provider Name
Jennivie Shaunette Latham-hickman
Credential
FAMILYNP
Provider Entity Type
Individual
Gender
Female
Address
101 Westover Cir, Madison, AL, 35758-4900
Phone Number
256-461-0209
Fax Number
256-325-3147
Provider Enumeration Date
11/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148215 05 AL
institution
Provider Business Practice Location Address Details
Address
101 Westover Cir
City
State
Zip
35758-4900
Phone Number
256-461-0209
Fax Number
256-325-3147
person
Provider Business Mailing Address Details
Address
101 Westover Cir
City
State
Zip
35758-4900
Phone Number
256-461-0209
Fax Number
256-325-3147
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-098043 (Alabama)
Definition
Definition to come...
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