Provider Demographics
NPI:1750798534
Name:HESTER, JESSICA (CRNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:HESTER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:HINKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1078
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-6078
Mailing Address - Country:US
Mailing Address - Phone:205-333-8554
Mailing Address - Fax:205-333-9552
Practice Address - Street 1:1325 MCFARLAND BLVD
Practice Address - Street 2:STE 101
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3262
Practice Address - Country:US
Practice Address - Phone:205-333-8554
Practice Address - Fax:205-333-9552
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-120268363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner