IndividualActive
Audrea Missildine, CRNP
NPI 1083929376 · Family Nurse Practitioner · Jack, AL
Provider details
- NPI number
- 1083929376
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-065276 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1031 County Road 114
Jack, AL 36346-6264
Phone: (334) 853-0177
Fax: (334) 853-0178
Approximate (ZIP-level) locationGet directions
Mailing address
1031 County Road 114
Jack, AL 36346-6264
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2019-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.