Nicole S Fennell, NP Valid NPI

Individual provider · Nurse Practitioner · Dothan, AL

NPI

1619376274

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

1-120271 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2014-08-20

Last updated

2016-01-04