Healthcare Provider Details

I. General information

NPI: 1497170542
Provider Name (Legal Business Name): JAMIE FOSTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 DR JOHN HAYNES DR
PELL CITY AL
35125-1438
US

IV. Provider business mailing address

PO BOX 246
PISGAH AL
35765-0246
US

V. Phone/Fax

Practice location:
  • Phone: 205-338-7866
  • Fax: 205-778-4318
Mailing address:
  • Phone: 205-338-7866
  • Fax: 205-778-4318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-164306
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: