IndividualActive
Johnetta Heningburg
NPI 1700608528 · Developmental Disabilities Clinic/Center · Mobile, AL
Provider details
- NPI number
- 1700608528
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5307 Forest Oaks Dr S
Mobile, AL 36618-2415
Phone: (251) 753-4760
Approximate (ZIP-level) locationGet directions
Mailing address
5307 Forest Oaks Dr S
Mobile, AL 36618-2415
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.