Healthcare Provider Details

I. General information

NPI: 1285253971
Provider Name (Legal Business Name): HANNAH DANIELLE JAUDON SPIKER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH DANIELLE JAUDON

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 7TH ST SE STE 140
DECATUR AL
35601-3394
US

IV. Provider business mailing address

PO BOX 2492
HUNTSVILLE AL
35804-2492
US

V. Phone/Fax

Practice location:
  • Phone: 256-973-5400
  • Fax: 256-973-5403
Mailing address:
  • Phone: 205-369-4051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number3083
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3083
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: