Provider Demographics
NPI:1780825208
Name:DEES, JENNIFER N (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:DEES
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 1:16240 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:TOXEY
Mailing Address - State:AL
Mailing Address - Zip Code:36921-2489
Mailing Address - Country:US
Mailing Address - Phone:251-843-5949
Mailing Address - Fax:251-843-5969
Practice Address - Street 1:16240 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:TOXEY
Practice Address - State:AL
Practice Address - Zip Code:36921-2489
Practice Address - Country:US
Practice Address - Phone:251-843-5949
Practice Address - Fax:251-843-5969
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069550163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice