MRS. JAMIE CREAR PETTWAY NP
NPI 1063368520
Nurse Practitioner - Family in Selma, AL

Q: What is Jamie Pettway's NPI number?

The NPI number for Jamie Pettway is 1063368520. It was assigned to this individual provider in the NPPES registry on March 7, 2026.

Q: What is Jamie Pettway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Pettway was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2026

107 CROWN RIDGE DR, SELMA, AL 36701(334) 267-0769 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Jamie Crear Pettway Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAMIE CREAR PETTWAY NP (NPI 1063368520) is an individual family provider in Selma, Alabama, licensed in Alabama (2025096913) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063368520

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JAMIE CREAR PETTWAYCredential: NP

Location Address107 CROWN RIDGE DRSelma, AL 36701-6817

Mailing Address107 Crown Ridge DrSelma, AL 36701-6817

Phone(334) 267-0769

Sole ProprietorYes

Enumeration DateMarch 7, 2026

NPPES CertifiedMarch 7, 2026

✔ NPI 1063368520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 2025096913

107 CROWN RIDGE DR, Selma, AL 36701

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Pettway's NPI number?

The NPI number for Jamie Pettway is 1063368520. It was assigned to this individual provider in the NPPES registry on March 7, 2026.

Where is Jamie Pettway located?

Jamie Pettway practices at 107 Crown Ridge Dr, Selma, AL 36701. The listed phone number is (334) 267-0769.

What is Jamie Pettway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jamie Pettway was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.