Individual provider · Type 1 NPI
Jamie Crear Pettway, NP
Family Nurse Practitioner · Selma, AL
NPI number
1063368520
Active
Practice location
107 Crown Ridge Dr
Selma, AL 36701-6817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2025096913 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063368520
Jamie Crear Pettway, NP's National Provider Identifier is 1063368520, issued on Mar 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Selma, AL. The record was last updated on Mar 7, 2026.