BL WADSWORTH LLC
NPI 1093252751
Nurse Practitioner - Psychiatric/Mental Health in Jasper, AL
Active since January 19, 2017
About Bl Wadsworth Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BL WADSWORTH LLC (NPI 1093252751) is a healthcare organization registered as a psychiatric/mental health in Jasper, Alabama and active in the NPI registry since January 2017. The organization lists Brett Lee Wadsworth, Owner, as its authorized official.
NPPES Registry Identity
NPI1093252751
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBL WADSWORTH LLC
Location Address1511 ALABAMA AVEJasper, AL 35501-4717
Mailing Address1511 Alabama AveJasper, AL 35501-4717 · (205) 295-1001 · Fax (205) 295-1005
Phone(205) 295-1001
Fax(205) 295-1005
Organization SubpartNo
Authorized OfficialBrett Lee WadsworthOwner · (205) 295-1001
Enumeration DateJanuary 19, 2017
✔ NPI 1093252751 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · AP9706✔ Licensed in CO · APN.0992842-NP✔ Licensed in WA · AP60720812
1511 ALABAMA AVE, Jasper, AL 35501
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093252751, enumerated as an "organization" on January 19, 2017.
The provider is located at 1511 ALABAMA AVE JASPER, AL 35501 and the phone number is (205) 295-1001.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
