Individual provider · Type 1 NPI
Keltin Jimmerson, CRNP
Women's Health Nurse Practitioner · Dothan, AL
NPI number
1730835190
Active
Practice location
104 Medical Dr # 104
Dothan, AL 36303-6902
Fax (334) 836-0059
Mailing address
595 Jones Rd
Newton, AL 36352-8072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Midwife | 367A00000X | None listed |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 1-162676 (AL) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1730835190
Keltin Jimmerson, CRNP's National Provider Identifier is 1730835190, issued on Feb 24, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Dothan, AL. The record was last updated on Apr 25, 2025.