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Contact Information

JEANNIE L BAIN, CRNP
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL35968-3347
 Phone: 256-997-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEANNIE L BAIN · (Female)

NPI # 1992381164
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/19/2021
Last updated 11/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-094402
  • AL Other 1-094402 NP LICENSE
  • AL Other 9521 RX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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