Provider Demographics
NPI:1932785391
Name:CALVERT, JAMES ALTON JR (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALTON
Last Name:CALVERT
Suffix:JR
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:363 AZALEA RD APT K28
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1962
Mailing Address - Country:US
Mailing Address - Phone:251-605-4629
Mailing Address - Fax:
Practice Address - Street 1:1201 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2717
Practice Address - Country:US
Practice Address - Phone:251-694-1801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-033256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty