JOSHUA WAYNE BANKSTON
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1609418342- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 354012029
- Phone
- (205) 759-7122
Specialties & Taxonomies
Nurse Practitioner
Primary License: AL #1-159330