Jenna McLean Fowlkes, CRNP
Nurse Practitioner, Family in Mobile, AL. Individual provider (NPI-1).
NPI number1982124822
StatusActive
Last updated in NPPESJun 21, 2017
Details
- NPI
- 1982124822
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenna McLean Fowlkes
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Last updated
- Jun 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-113749 | AL | Yes |
Practice location
2451 USA Medical Center DrMobile, AL 36617-2300
Phone 251-471-7300
Mailing address
62 Silverwood StMobile, AL 36607-3410
Phone 251-490-6180
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