Provider Demographics
NPI:1659922763
Name:FLOWERS, JOTERIAN C (CRNP)
Entity Type:Individual
Prefix:
First Name:JOTERIAN
Middle Name:C
Last Name:FLOWERS
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 1:201 MONROE ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-3721
Mailing Address - Country:US
Mailing Address - Phone:334-206-9306
Mailing Address - Fax:334-774-2333
Practice Address - Street 1:532 W ROY PARKER RD
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-1006
Practice Address - Country:US
Practice Address - Phone:334-774-5146
Practice Address - Fax:334-774-2333
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily