MEDICARE: JOANNA NICOLE KALLENDORF CRNP

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
1	363LF0000X	Family Nurse Practitioner	1-116722	AL

General Provider Information

NPI Number	:	1295278653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA NICOLE KALLENDORF CRNP

Provider Business Mailing Address
First Line	:	1414 ELBA HWY
Second Line	:
City	:	TROY
State	:	AL
Zip	:	36079-6020
Country	:	US
Telephone Number	:	334-670-6726
Fax Number	:	334-670-6731

Provider Business Practice Location Address
First Line	:	193 OATES DR
Second Line	:
City	:	NEWTON
State	:	AL
Zip	:	36352-4312
Country	:	US
Telephone Number	:	334-299-3592
Fax Number	:	334-299-3870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	08/08/2019

Similar Medicare Providers

1649248105 — MR. BILLY HARMON PA
Practice Location Address:

193 OATES DR
NEWTON, AL
36352-4312

Practice Phone: 334-299-3592
Practice Fax: 334-299-3870

1043220122 — CHARLES DAVID WINFREY P.A.
Practice Location Address:

193 OATES DR
NEWTON, AL
36352-4312

Practice Phone: 334-299-3592
Practice Fax: 334-299-3870

1780745034 — SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Practice Location Address:

193 OATES DR
NEWTON, AL
36352-4312

Practice Phone: 334-299-3592
Practice Fax: 334-299-3870

1689257602 — CALLIE BROOKS DO
Practice Location Address:

193 OATES DR
NEWTON, AL
36352-4312

Practice Phone: 334-299-3592
Practice Fax: 334-299-3870

1801815196 — WICKSBURG FIRE RESCUE
Practice Location Address:

1610 ADKINSON RD
NEWTON, AL
36352-8820

Practice Phone: 334-692-3866
Practice Fax:

1043231525 — DALE COUNTY RESCUE AND RECOVERY
Practice Location Address:

449 S COLLEGE ST
NEWTON, AL
36352-4018

Practice Phone: 334-299-0222
Practice Fax: 334-299-3174

Directions to “ JOANNA NICOLE KALLENDORF CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.