Healthcare Provider Details

I. General information

NPI: 1982295531
Provider Name (Legal Business Name): JOAN AJUMUKA REED NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 BROOKWOOD MEDICAL CTR DR STE 508
BIRMINGHAM AL
35209-6823
US

IV. Provider business mailing address

2006 BROOKWOOD MEDICAL CTR DR STE 508
BIRMINGHAM AL
35209-6823
US

V. Phone/Fax

Practice location:
  • Phone: 205-870-9784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-123931
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: