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
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-065276 (AL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Jack
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.