Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 31656 | SC |
Y | 207VX0201X | Gynecologic Oncologist | 36423 | AL |
NPI | 1508078577 |
---|---|
Provider Name | Jennifer Y Pierce |
First Address | Mobile, AL 36640-0430 |
Second Address | Mobile, AL 36604-1405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 06/03/2018 |