Provider Demographics
NPI:1801234398
Name:DRUMMONDS, JENNIFER WILSON (DNP, CRNP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WILSON
Last Name:DRUMMONDS
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:960 MOUNT OLIVE RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-4741
Mailing Address - Country:US
Mailing Address - Phone:205-443-1702
Mailing Address - Fax:205-443-1710
Practice Address - Street 1:960 MOUNT OLIVE RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-4741
Practice Address - Country:US
Practice Address - Phone:205-443-1702
Practice Address - Fax:205-443-1710
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-079563363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health