Jamie Crear Pettway, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2025096913 Issued in AL

Practice address

107 Crown Ridge Dr
Selma, AL 36701-6817

Phone

(334) 267-0769

NPI assigned

Mar 7, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1063368520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CROWN RIDGE DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CROWN RIDGE DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016817",
            "telephone_number": "334-267-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "JAMIE",
        "middle_name": "CREAR",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "2025096913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Williams K Perkins, RPT
• Shaena Marie Peter, OTR/L
• Physicians Choice Dialysis of Selma, LLC
• Pilcher McBryde Drug Company
• Pinkie Platt, LPC
• Reneka Kiera Polk, NP
• Preferred Eye Care LLC

• Family Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.