Basic Information
Provider Information
NPI: 1801533559
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: NATALEIGH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSN, CRNP, FNP-C
OtherOrganizationName:  
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Mailing Information
Address1: 455 S WATFORD RD
Address2:  
City: SLOCOMB
State: AL
PostalCode: 363754905
CountryCode: US
TelephoneNumber: 3344706592
FaxNumber:  
Practice Location
Address1: 3700 CAHABA BEACH RD
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352425225
CountryCode: US
TelephoneNumber: 2054212088
FaxNumber: 2052787660
Other Information
ProviderEnumerationDate: 05/15/2022
LastUpdateDate: 07/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WE0003X1-169295ALN Nursing Service ProvidersRegistered NurseEmergency
363LF0000X1-169295ALN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X1-169295ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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