Healthcare Provider Details

I. General information

NPI: 1295669984
Provider Name (Legal Business Name): FARM LIFE FAMILY CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15267 E LIMESTONE RD
HARVEST AL
35749-7223
US

IV. Provider business mailing address

15267 E LIMESTONE RD
HARVEST AL
35749-7223
US

V. Phone/Fax

Practice location:
  • Phone: 254-247-8291
  • Fax: 256-790-7977
Mailing address:
  • Phone: 254-247-8291
  • Fax: 256-790-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROL ELIZABETH JESSEE
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 254-247-8291