Healthcare Provider Details

I. General information

NPI: 1699694349
Provider Name (Legal Business Name): JESSICA WHITNEY MCCRAY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2457 MALL RD
FLORENCE AL
35630-2809
US

IV. Provider business mailing address

241 SPRUCE DR
HAMILTON AL
35570-6924
US

V. Phone/Fax

Practice location:
  • Phone: 256-332-7001
  • Fax:
Mailing address:
  • Phone: 256-332-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF06260687
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: