Provider Demographics
NPI:1346952231
Name:GARRISON, JENNIFER (RPSGT, CCSH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GARRISON
Suffix:
Gender:F
Credentials:RPSGT, CCSH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7191 CAHABA VALLEY ROAD
Mailing Address - Street 2:STE. 203 BUILDING 2
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6448
Mailing Address - Country:US
Mailing Address - Phone:205-236-9943
Mailing Address - Fax:205-236-9947
Practice Address - Street 1:7191 CAHABA VALLEY ROAD
Practice Address - Street 2:STE. 203 BUILDING 2
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-6448
Practice Address - Country:US
Practice Address - Phone:205-236-9943
Practice Address - Fax:205-236-9947
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRPSGT8992246Z00000X
ALCCSH1144174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other