MEDICARE: DR. JENNIFER WILSON DRUMMONDS DNP, 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	363LA2200X	Adult Health Nurse Practitioner	1-079563	AL

General Provider Information

NPI Number	:	1801234398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER WILSON DRUMMONDS DNP, CRNP

Provider Business Mailing Address
First Line	:	960 MOUNT OLIVE RD
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-4741
Country	:	US
Telephone Number	:	205-443-1702
Fax Number	:	205-443-1710

Provider Business Practice Location Address
First Line	:	960 MOUNT OLIVE RD
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-4741
Country	:	US
Telephone Number	:	205-443-1702
Fax Number	:	205-443-1710

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

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	06/28/2023

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