Provider Demographics
NPI:1912475658
Name:EARNEST, JESSICA CHAPMAN (CRNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHAPMAN
Last Name:EARNEST
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:KATHRYN
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:41 EMINENCE WAY STE A
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-2338
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:
Practice Address - Street 1:41 EMINENCE WAY STE A
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2338
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL174613Medicaid