Doctor Name: | MS. JESSICA MASSEY |
NPI Number: | 1063832566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P |
License Number: | 1-116496 |
Business Practice Address: | 724 Stone Ave Talladega, AL - 351602219 |
Business Phone Number: | 2563621410 |
Business Fax Number: | 2563620186 |
Mailing Address: | Po Box 830605, BIRMINGHAM |
State: | AL |
Postal Code: | 352830605 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/23/2014 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | 1-116496 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |