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NPI Code Detail

MEDICARE: JESSICA GARNER GENOVY CRNP

MEDICARE: JESSICA GARNER GENOVY CRNP
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
1363LF0000XFamily Nurse Practitioner1-135982AL

General Provider Information

NPI Number : 1437700606
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GARNER GENOVY CRNP
Provider Business Mailing Address
First Line : 276 COUNTY ROAD 1461
Second Line :
City : VINEMONT
State : AL
Zip : 35179-7692
Country : US
Telephone Number : 256-550-2254
Fax Number :
Provider Business Practice Location Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number : 256-382-3680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 08/20/2024

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