Healthcare Provider Details

I. General information

NPI: 1699199141
Provider Name (Legal Business Name): JENNIFER POPLAWSKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 INTERNATIONAL PARK DR STE 200
BIRMINGHAM AL
35243-4217
US

IV. Provider business mailing address

1900 INTERNATIONAL PARK DR STE 200
BIRMINGHAM AL
35243-4217
US

V. Phone/Fax

Practice location:
  • Phone: 205-635-3878
  • Fax:
Mailing address:
  • Phone: 205-635-3878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN001663
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1-192543
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: