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JILL CASON ELMORE CNRP

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

Registrant NPI Number: 1285841270

Individual Registrant:
 JILL CASON ELMORE CNRP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
301 MEDICAL AVE SUITE A ANDALUSIA, AL 36420-1103 US
Tel: 334-222-1366  Fax: 334-222-1150

Contact information for business:
301 MEDICAL AVE SUITE A ANDALUSIA, AL 36420-1103 US
Tel: 334-222-1366  Fax: 334-222-1150

Registration Information:
NPI: 1285841270
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-069423

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS511-62253AL01
AL LICENSE1-06942301




HEALTH CARE JOBS AL - Page 1



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