JAMILLIA RENEA SHORT

TUSCALOOSA, AL
NPI1912789843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-172032)
Enumeration Date2023-10-16
Last Update Date2023-10-17
Business Address
JAMILLIA RENEA SHORT
2731 MARTIN LUTHER KING BLVD
TUSCALOOSA, AL 35401-5235
Phone number: 205-758-6647
Mailing Address
JAMILLIA RENEA SHORT
2801 15TH AVE
NORTHPORT, AL 35476-3243
Phone number: 205-331-8464
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