Jaime Bres Cannon CRNP

NPI 1073894168 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1073894168
Gender Female
Enumeration Date 09/01/2011
Last Updated 09/01/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1440 NARROW LANE PKWY
MONTGOMERY AL, 36111-2654, US
Phone (334) 281-4140
Fax (334) 281-4198
Business Location
1440 NARROW LANE PKWY
MONTGOMERY AL, 36111-2654, US
Phone (334) 281-4140
Fax (334) 281-4198
Toxanomy
Taxonomy Code 363LA2100X
License State Alabama
License Number 1-114061
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According to our database, Mrs. Jaime Bres Cannon CRNP NPI is 1073894168, taxonomy code is 363LA2100X and license number is 1-114061, license state is located at Alabama. Jaime Bres Cannon CRNP physically located at 1440 Narrow Lane Pkwy, Montgomery AL, 36111-2654. NPI Number Jaime Bres Cannon CRNP has the Individual type.

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1073894168 NPI number is provided on an as is basis without warranty of any kind. 1073894168 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Bres Cannon CRNP are for informational purposes only.