Facts
- Status
- A
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2024-06-13
- Last updated
- 2025-04-16
Licenses
- License AL
- 1-141246
- License AL
- 1-141246
Location
- Practice location
- 108 AVALON AVE
- City
- MUSCLE SHOALS AL
- Postal code
- 356612800
- Phone
- 256-284-7706
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.