Jennifer    Dees    NP
Contract Details
The Clinic P.C.
Facility name
Provider ID
P000000001
NPI
1780825208
Tax ID
262945212
Effective Date
10/31/2024
Last Updated
11/12/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
16240 Highway 17
Toxey, AL 36921
United States
Phone
251-843-5949 (Phone)
Billing Details
Address
16240 Highway 17
Toxey, AL 36921
Billing Phone
251-843-5949
Specialty Type
Nurse Practitioner
Map
Address