Provider Demographics
NPI:1093866337
Name:CULPEPPER, JANNA KAY (CRNP)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:KAY
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 OLD WATER WORKS RD SW
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-3347
Mailing Address - Country:US
Mailing Address - Phone:256-997-5900
Mailing Address - Fax:888-977-1691
Practice Address - Street 1:1359 OLD WATER WORKS RD SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3347
Practice Address - Country:US
Practice Address - Phone:256-997-5900
Practice Address - Fax:888-977-1691
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1037602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051503895OtherBLUE CROSS BLUE SHIELD
ALP00310235OtherMEDICARE RAILROAD RETIREM
AL051518455OtherBLUE CROSS BLUE SHIELD
AL051503891OtherBLUE CROSS BLUE SHIELD
AL051503896OtherBLUE CROSS BLUE SHIELD
AL051511090OtherBLUE CROSS BLUE SHIELD
ALP00310235OtherMEDICARE RAILROAD RETIREM
AL051503895OtherBLUE CROSS BLUE SHIELD
AL630302033Medicaid
AL051518455OtherBLUE CROSS BLUE SHIELD
AL630306033Medicaid
AL630308033Medicaid
AL630309033Medicaid
AL051503896OtherBLUE CROSS BLUE SHIELD
AL630307033Medicaid