James Bradley Addison Valid NPI

Individual provider · Family Nurse Practitioner · Dothan, AL

NPI

1679985055

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1122572 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2014-05-20

Last updated

2014-05-20