Provider Demographics
NPI:1609910355
Name:BUTLER ACUFF, JENNIFER ELISE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ELISE
Last Name:BUTLER ACUFF
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 1:749 TWIN BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2433
Mailing Address - Country:US
Mailing Address - Phone:205-979-4813
Mailing Address - Fax:
Practice Address - Street 1:2010 PATTON CHAPEL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-5782
Practice Address - Country:US
Practice Address - Phone:205-979-9537
Practice Address - Fax:205-979-7965
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-097499363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner