Jaclyn A Wall
Obstetrician & Gynecologist Gynecologic Oncologist
619 19th St S
Birmingham
, Alabama 35249-4699
Jaclyn A Wall
Obstetrician & Gynecologist Gynecologic Oncologist
619 19th St S
Birmingham
, Alabama 35249-4699
(205) 731-9701
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Jaclyn A Wall
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone : (205) 731-9701
Second Address
- Jaclyn A Wall
- 619 19th St S
- Birmingham, AL
- Zip : 35249-4699
- Phone : (205) 934-4011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 38250 | AL |
| Y | 207VX0201X | Gynecologic Oncologist | 38250 | AL |
National Provider Identifier
| NPI | 1588059257 |
|---|---|
| Provider Name | Jaclyn A Wall |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35249-4699 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2015 |
| Last Update Date | 08/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.