| Name: | JCN Healthcare Solutions, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Apr 2021 (4 years ago) |
| Entity Number: | 000-846-634 |
| Register Number: | 000846634 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2447 MONTE VISTA DRIVEVESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013661008 | 2022-02-08 | 2023-12-29 | 610 PRESERVE PKWY STE 160, HOOVER, AL, 352264250, US | 610 PRESERVE PKWY STE 160, HOOVER, AL, 352264250, US | |||||||||||||||||||
|
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| Phone | +1 205-238-9383 |
Authorized person
| Name | JEFFREY CLAY NOLEN |
| Role | OWNER/SUPERVISING PHARMACIST |
| Phone | 2052389383 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 286022 |
| State | AL |
| Name | Role |
|---|---|
| Nolen, Clay | Agent |
| Name | Role | Address |
|---|---|---|
| BLOUNT, JESSE H | Organizer | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
