JAENELLE GRACE

BIRMINGHAM, AL
NPI1225540206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AL  1-128618)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
JAENELLE GRACE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
JAENELLE GRACE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number:
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