Provider Demographics
NPI:1861137812
Name:KNAPMEYER, JESSICA (CRNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:KNAPMEYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 COX CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1631
Mailing Address - Country:US
Mailing Address - Phone:256-760-1655
Mailing Address - Fax:
Practice Address - Street 1:104A PHYSICIANS DR
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2100
Practice Address - Country:US
Practice Address - Phone:256-383-6070
Practice Address - Fax:256-381-4022
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-169533163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse