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SENIOR HEALTH SOURCE LLC
NPI 1750677407
Clinical Nurse Specialist - Gerontology in Daphne, AL

Active since June 21, 2011
27440 COUNTY ROAD 13, DAPHNE, AL 36526(251) 533-6372 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Senior Health Source Llc NPPES

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

SENIOR HEALTH SOURCE LLC (NPI 1750677407) is a healthcare organization registered as a gerontology in Daphne, Alabama and active in the NPI registry since June 2011. The organization lists Karen L Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1750677407
Entity TypeOrganization
Primary Taxonomy364SG0600X
Legal Business NameSENIOR HEALTH SOURCE LLC
Location Address27440 COUNTY ROAD 13Daphne, AL 36526-6222
Mailing AddressPo Box 7872Spanish Fort, AL 36577-7872
Phone(251) 533-6372
Organization SubpartNo
Authorized OfficialKaren L JacksonOwner · (251) 533-6372
Enumeration DateJune 21, 2011
Last NPPES UpdateDecember 30, 2011
✔ NPI 1750677407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in AL · 1-087343
27440 COUNTY ROAD 13, Daphne, AL 36526
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Other Identifiers 1

Medicare UPIN102G705926AL

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 SINGLE SPECIALTY GROUP

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 Senior Health Source LLC's NPI number?

The NPI number for Senior Health Source LLC is 1750677407. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Senior Health Source LLC located?

Senior Health Source LLC is located at 27440 County Road 13, Daphne, AL 36526. The listed phone number is (251) 533-6372.

What is Senior Health Source LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Senior Health Source LLC was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.