JORDAN WALL CRNP NPI 1972354538

NPI Information

  • NPI: 1972354538
  • Provider Name: JORDAN WALL, CRNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 810 SAINT VINCENTS DR
    BIRMINGHAM, AL
    ZIP 35205
  • Phone: (205) 939-7000

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NPI Details

Jordan Wall, CRNP is an acute care nurse practitioner in Birmingham, AL with 8 years of experience. Jordan Wall, CRNP NPI is 1972354538. 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:

810 SAINT VINCENTS DR
BIRMINGHAM, AL
ZIP 35205-601
Phone: (205) 939-7000

The NPI 1972354538 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 4/1/2024 and was last updated on 4/25/2024.

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
1363LA2100XNurse PractitionerAcute Care1-159731ALABAMAYes

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: 11/21/2025

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