IndividualActive
Jerrel Wynn
NPI 1417496399 · Ambulance · Huntsville, AL
Provider details
- NPI number
- 1417496399
- Entity type
- Individual
- Primary specialty
- AmbulanceTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Practice location
222 Shadowbrook Ln Ne
Huntsville, AL 35811-8203
Phone: (256) 701-0998
Fax: (256) 384-7648
Approximate (ZIP-level) locationGet directions
Mailing address
222 Shadowbrook Ln Ne
Huntsville, AL 35811-8203
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.