JEREMY KEITH URBAN FNP-BC NPI 1679095699

NPI Information

NPI: 1679095699
Provider Name: JEREMY KEITH URBAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DECATUR ORTHOPAEDIC CLINIC LLC

PECOS Registration: Yes

Address:
1103 16TH AVE SE
DECATUR, AL
ZIP 35601
Phone: (256) 350-0362
Get Directions

Jeremy Keith Urban, FNP-BC is a family nurse practitioner in Decatur, AL with 7 years of experience. Jeremy Keith Urban, FNP-BC NPI is 1679095699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1103 16TH AVE SE
DECATUR, AL
ZIP 35601
Phone: (256) 350-0362
Fax: (256) 355-9779

The NPI 1679095699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 8/13/2018.

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	363LF0000X	Nurse Practitioner	Family	1-141602	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-141602	OTHER	ALABAMA	REGISTERED NURSE LICENSE
2	1-141602	OTHER	ALABAMA	CRNP

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: 11/14/2023

NPI Synchronization or Removal

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