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NPI 1417312331

NPI 1417312331 : JULIA NELMS CRNP : GARDENDALE, AL

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General NPI Number Information
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    NPI Number           |    1417312331
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA NELMS CRNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2015
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    Last Update Date     |    12/18/2015
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Provider Practice Location Address
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    Address Line         |    2215 DECATUR HWY SUITE 101
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    City                 |    GARDENDALE
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    State                |    AL
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    Zip                  |    35071-2360
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    Country              |    US
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    Telephone            |    205-502-5959
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2215 DECATUR HWY SUITE 101
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    City                 |    GARDENDALE
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    State                |    AL
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    Zip                  |    35071-2360
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    1-036847
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    License Number State |    AL
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