Individual provider · Type 1 NPI

Jerry Ladon Outlaw, CRNP

Family Nurse Practitioner · Ozark, AL

NPI number 1609125202 Active

Practice location

145 Katherine Ave.
Ozark, AL 36360-1987

Call (334) 774-5116 Map

Fax (334) 774-6848

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-070149 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1609125202

Jerry Ladon Outlaw, CRNP's National Provider Identifier is 1609125202, issued on Aug 29, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ozark, AL. The record was last updated on Aug 29, 2012.