Individual provider · Type 1 NPI

Audrea H. Missildine, CRNP

Family Nurse Practitioner · Jack, AL

NPI number 1083929376 Active

Practice location

1031 County Road 114
Jack, AL 36346-6264

Fax (334) 853-0178

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-065276 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1083929376

Audrea H. Missildine, CRNP's National Provider Identifier is 1083929376, issued on Aug 11, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jack, AL. The record was last updated on Jul 12, 2019.