Most Relevant Information
Provider Data
| NPI Number: | 1003354788 |
| Provider Name: | JANA MARIE BERRY FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-113271 |
Most Important Dates
| Enumeration Date: | 02/02/2017 |
| Last Updated: | 03/15/2019 |
Provider Practice Location
6459 HIGHWAY 72
KILLEN
AL
356458258
Practice Location Phone/Fax
| Phone: | 2562720275 |
| Fax: |
Provider Mailing Location
PO BOX 70
KILLEN
AL
356450070
Provider Mailing Phone/Fax
| Phone: | 2562720275 |
| Fax: | 2562720277 |