Jarrod Gage, CRNP
Nurse Practitioner, Pediatrics in Birmingham, AL. Individual provider (NPI-1).
NPI number1013274331
StatusActive
Last updated in NPPESApr 12, 2012
Details
- NPI
- 1013274331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jarrod Gage
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2012
- Last updated
- Apr 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1093416 | AL | Yes |
Practice location
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-939-6273 · Fax 205-558-2464
Mailing address
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-939-6273 · Fax 205-558-2464
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