Provider Demographics
NPI:1982460986
Name:DOOLITTLE, JENNIFER RENE' (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RENE'
Last Name:DOOLITTLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-3859
Mailing Address - Country:US
Mailing Address - Phone:251-406-1529
Mailing Address - Fax:
Practice Address - Street 1:256 GARDEN DR
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3859
Practice Address - Country:US
Practice Address - Phone:251-406-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1175978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily