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IRIS KAY BESSIOUNI CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1053962639

Individual Registrant:
 IRIS KAY BESSIOUNI CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
508 GREENE ST  GREENSBORO, AL 36744-2316 US
Tel: 334-624-6024  Fax: 334-624-4453

Contact information for business:
10303 FIKES FARM RD  COTTONDALE, AL 35453-1164 US
Tel: 205-331-7755  Fax: --

Registration Information:
NPI: 1053962639
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-068176

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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