Individual provider · Type 1 NPI

Mary Jordan Conzelman

Family Nurse Practitioner · Mountain Brk, AL

NPI number 1316660210 Active

Practice location

2700 Highway 280 S Ste 212
Mountain Brk, AL 35223-2468

Mailing address

3345 Mountainside Rd
Vestavia, AL 35243-5012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-181941 (AL)
Registered Nurse 163W00000X1-181941 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1316660210

Mary Jordan Conzelman's National Provider Identifier is 1316660210, issued on Sep 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mountain Brk, AL. The record was last updated on Oct 19, 2024.