JACQUELINE UNDERWOOD

BUTLER, AL
NPI1578048922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-106108)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  903426)
363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  232595)
Enumeration Date2018-10-02
Last Update Date2020-02-12
Business Address
JACQUELINE UNDERWOOD NP
39 ASHWOOD RD
BUTLER, AL 36904-3690
Phone number: 205-459-3934
Mailing Address
JACQUELINE UNDERWOOD NP
39 ASHWOOD RD
BUTLER, AL 36904-2860
Phone number: 205-459-3934