MRS. GLENDORA BOLAR JAMISON CRNP NPI 1821371717

NPI Information

NPI: 1821371717
Provider Name: MRS. GLENDORA BOLAR JAMISON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1303 DR MARTIN L KING JR AVE
MOBILE, AL
ZIP 36603
Phone: (251) 432-4117
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MRS. Glendora Bolar Jamison, CRNP is a family nurse practitioner in Mobile, AL. MRS. Glendora Bolar Jamison, CRNP NPI is 1821371717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1303 DR MARTIN L KING JR AVE
MOBILE, AL
ZIP 36603-341
Phone: (251) 432-4117
Fax: (251) 964-4012

The enumeration date for this NPI number is 9/27/2011 and was last updated on 9/27/2011.

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	363L00000X	Nurse Practitioner		1-042513	ALABAMA	No
2	363LC1500X	Nurse Practitioner	Community Health	1-042513	ALABAMA	No
3	363LP2300X	Nurse Practitioner	Primary Care	1-042513	ALABAMA	No
4	363LF0000X	Nurse Practitioner	Family	1-042513	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	1-042513	OTHER	ALABAMA	STATE LICENSE

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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