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NPI Code Detail

MEDICARE: MRS. JEANNIE HUGHES NOBLITT FNP

MEDICARE:  MRS. JEANNIE HUGHES NOBLITT  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN125647TN
2363LF0000XFamily Nurse Practitioner7972TN

General Provider Information

NPI Number : 1255326740
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNIE HUGHES NOBLITT FNP
Provider Business Mailing Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number : 256-536-1504
Provider Business Practice Location Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number : 256-536-1504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/20/2025

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