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NPI Code Detail

MEDICARE: JANA GAIL ZEITVOGEL CRNP

MEDICARE: JANA GAIL ZEITVOGEL 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
1363LF0000XFamily Nurse Practitioner1089341AL

General Provider Information

NPI Number : 1861472219
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA GAIL ZEITVOGEL CRNP
Provider Business Mailing Address
First Line : 3320 CHURCHILL DR
Second Line :
City : TRUSSVILLE
State : AL
Zip : 35173-5199
Country : US
Telephone Number : 205-655-1591
Fax Number :
Provider Business Practice Location Address
First Line : 1508 COGSWELL AVE
Second Line :
City : PELL CITY
State : AL
Zip : 35125-1243
Country : US
Telephone Number : 205-814-1598
Fax Number : 205-814-1587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 07/08/2007

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