Provider Demographics
NPI:1861472219
Name:ZEITVOGEL, JANA GAIL (CRNP)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:GAIL
Last Name:ZEITVOGEL
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 1:3320 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-5199
Mailing Address - Country:US
Mailing Address - Phone:205-655-1591
Mailing Address - Fax:
Practice Address - Street 1:1508 COGSWELL AVE
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-1243
Practice Address - Country:US
Practice Address - Phone:205-814-1598
Practice Address - Fax:205-814-1587
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1089341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily