JACQUELINE PETTAWAY

MOBILE, AL
NPI1841695954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-076204)
Enumeration Date2014-10-31
Last Update Date2021-03-02
Business Address
JACQUELINE PETTAWAY CRNP
1601 CENTER ST
MOBILE, AL 36604-1541
Phone number: 251-410-5437
Mailing Address
JACQUELINE PETTAWAY CRNP
PO BOX 40480
MOBILE, AL 36640-0480
Phone number: 251-434-3626
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