Individual provider · Type 1 NPI

Jessica Booth, CRNP

Family Nurse Practitioner · Madison, AL

NPI number 1861046419 Active

Practice location

600 Sun Temple Dr
Madison, AL 35758-8643

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-146061 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1861046419

Jessica Booth, CRNP's National Provider Identifier is 1861046419, issued on Jul 31, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, AL. The record was last updated on Jul 31, 2019.