MEDICARE: JENNIFER POPLAWSKI APRN

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	363LG0600X	Gerontology Nurse Practitioner	APRN001663	NV
2	363LG0600X	Gerontology Nurse Practitioner	1-192543	AL

General Provider Information

NPI Number	:	1699199141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER POPLAWSKI APRN

Provider Business Mailing Address
First Line	:	1900 INTERNATIONAL PARK DR STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4217
Country	:	US
Telephone Number	:	205-635-3878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 INTERNATIONAL PARK DR STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4217
Country	:	US
Telephone Number	:	205-635-3878
Fax Number	:

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

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	03/03/2025

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