Provider Demographics
NPI:1477851830
Name:LAMBERT, JENNIFER ELIZABETH (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ELIZABETH
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:188 HOSPITAL DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2043
Mailing Address - Country:US
Mailing Address - Phone:251-990-1960
Mailing Address - Fax:251-990-1964
Practice Address - Street 1:188 HOSPITAL DR
Practice Address - Street 2:SUITE 303
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2043
Practice Address - Country:US
Practice Address - Phone:251-990-1960
Practice Address - Fax:251-990-1964
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-101314363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I500188Medicare PIN