BL WADSWORTH LLC NPI 1093252751

NPI Information

NPI: 1093252751
Provider Name: BL WADSWORTH LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1511 ALABAMA AVE
JASPER, AL
ZIP 35501
Phone: (205) 295-1001
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BL WADSWORTH LLC is a psychiatric/mental health nurse practitioner in Jasper, AL. BL WADSWORTH LLC NPI is 1093252751. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1511 ALABAMA AVE
JASPER, AL
ZIP 35501-717
Phone: (205) 295-1001
Fax: (205) 295-1005

The provider's authorized official is Brett Lee Wadsworth .
The authorized official title is Owner and has the following contact phone number (205) 295-1001.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 1/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP9706	ARIZONA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0992842-NP	COLORADO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60720812	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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