Jerry Outlaw, CRNP

NPI 1609125202 · on the registry since 2012

Practice

Address: 145 Katherine Ave.
Ozark, AL 36360
Phone: (334) 774-5116
Fax: (334) 774-6848
Organisation at this address: Connie A. Chandler, Md
Enlighten Behavioral Consultation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-29

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