Jennifer Sorrell Duncan, CRNP
Individual provider Active NPI Family Nurse Practitioner · Calera, AL
NPI 1124779459 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1124779459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-109667 (AL)
- Practice address
- 233 Beverly Drive
Calera, AL 35040 - Phone
- (205) 821-4411
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230426002480 | AL | Practitioner - Nurse Practitioner | 1658736665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109667 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eminence Urgent Care LLC | Current |
Accepting new patients |
Locations
233 Beverly Dr
Ste 101
Calera, AL 35040
Phone (205) 821-4411
2156 Highway 52 E
#150
Pelham, AL 35124
Phone (205) 920-1211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-109667 | AL | Yes |
Addresses
Primary practice location
233 Beverly Drive
Calera, AL 35040
Mailing address
233 Beverly Drive
Calera, AL 35040
Phone (205) 821-4411
Other providers in Calera, AL
- Ariel Denson
- Derek J Doss DMD LLC
- Tivanka Sanjea Desilva
- Drayer Physical Therapy-Alabama LLC
- Melinda Beth Dryden
- Emily Eddy
- John Zachary Edwards
- Bradley David Farnsworth
- Alana Flow
- Keshia Yvonne Flowers
All providers in Calera, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.