Doctor Name: | JENNY R DOSS |
NPI Number: | 1700869609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1067338 |
Business Practice Address: | 222 Arkadelphia Nerd Hanceville, AL - 350774700 |
Business Phone Number: | 2563524767 |
Business Fax Number: | 2563524797 |
Mailing Address: | 222 Arkadelphia Nerd, HANCEVILLE |
State: | AL |
Postal Code: | 35077 |
Phone Number: | 2562594745 |
Fax Number: | 2562591235 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 1067338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |