Jana Marie Berry
Nurse Practitioner - Family Medicine
6459 Highway 72
Killen
, Alabama 35645-8258
Jana Marie Berry
Nurse Practitioner - Family Medicine
6459 Highway 72
Killen
, Alabama 35645-8258
(256) 272-0277
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jana Marie Berry
- Po Box 70
- Killen, AL
- Zip : 35645-0070
- Fax : (256) 272-0277
- Phone : (256) 272-0275
Second Address
- Jana Marie Berry
- 6459 Highway 72
- Killen, AL
- Zip : 35645-8258
- Phone : (256) 272-0275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1-113271 | AL |
National Provider Identifier
| NPI | 1003354788 |
|---|---|
| Provider Name | Jana Marie Berry |
| First Address | Killen, AL 35645-0070 |
| Second Address | Killen, AL 35645-8258 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2017 |
| Last Update Date | 15/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 511-89137 | BLUE CROSS (01) | AL |
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.