Jordana Lee Kane, CRNP
Registered Nurse in Montgomery, AL. Individual provider (NPI-1).
NPI number1164097630
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1164097630
- Entity type
- Individual (NPI-1)
- Name
- Jordana Lee Kane
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2021
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R41381 | ND | Yes |
| 363LF0000X | Nurse Practitioner, Family | 1-185885 | AL |
Practice location
1845 Cherry StMontgomery, AL 36107-2613
Phone 334-420-5001
Mailing address
1845 Cherry StMontgomery, AL 36107-2613
Phone 334-420-5001
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