Search › Alabama › 363LW0102X

Keltin Jimmerson, CRNP

NPI 1730835190 · on the registry since 2022

Practice

Address
104 Medical Dr # 104
Dothan, AL 36303
Phone
(334) 671-9447
Fax
(334) 836-0059

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
367A00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama