Provider Demographics
NPI:1326628686
Name:RINEHART, KATHERINE JACKSON (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JACKSON
Last Name:RINEHART
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 10TH AVE S STE 735
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1628
Mailing Address - Country:US
Mailing Address - Phone:205-327-1077
Mailing Address - Fax:
Practice Address - Street 1:2660 10TH AVE S STE 735
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1628
Practice Address - Country:US
Practice Address - Phone:205-327-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-144992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily