Doctor Name: | MRS. LEANNE KNOWLES |
NPI Number: | 1447635305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-047449 |
Business Practice Address: | 1 Medical Park Valley, AL - 368543665 |
Business Phone Number: | 3347565150 |
Business Fax Number: | |
Mailing Address: | 1 Medical Park, VALLEY |
State: | AL |
Postal Code: | 368543665 |
Phone Number: | 3347565150 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 1-047449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |