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1225540206
JAENELLE GRACE
BIRMINGHAM, AL
NPI
1225540206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-128618)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
JAENELLE GRACE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
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Mailing Address
JAENELLE GRACE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number:
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