Provider Demographics
NPI:1013661511
Name:KNIGHT, JEWELS M (FNP-C, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JEWELS
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 LEE ROAD 393
Mailing Address - Street 2:
Mailing Address - City:NOTASULGA
Mailing Address - State:AL
Mailing Address - Zip Code:36866-2104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1475 AL HIGHWAY 14 E
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703-2996
Practice Address - Country:US
Practice Address - Phone:334-526-3240
Practice Address - Fax:334-526-3241
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150345363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily