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NPI Code Detail

MEDICARE: JENNIFER TURNHAM NELSON M.D.

MEDICARE: JENNIFER TURNHAM NELSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2174400000XSpecialist32140AL

General Provider Information

NPI Number : 1033400528
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER TURNHAM NELSON M.D.
Provider Business Mailing Address
First Line : 2900 CAHABA RD
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-1937
Country : US
Telephone Number : 205-877-9773
Fax Number : 205-877-9775
Provider Business Practice Location Address
First Line : 2900 CAHABA RD
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-1937
Country : US
Telephone Number : 205-877-9773
Fax Number : 205-877-9775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 05/27/2015

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