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Jessica Roberts Pierce, PLLC

Details

Name: Jessica Roberts Pierce, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2023 (a year ago)
Entity Number: 001-085-540
Register Number: 001085540
County: Butler
Place of Formation: Alabama
Registered Office Street Address: 11088 Pineapple HighwayForest Home, AL 36030
Registered Office Street Address ZIP Code: 36030

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477239143 2023-06-26 2023-11-02 101 E COMMERCE STREET, SUITE 117, GREENVILLE, AL, 360370021, US 11088 PINEAPPLE HWY, FOREST HOME, AL, 360305222, US

Contacts

Phone +1 334-230-4310
Fax 8882404654
Phone +1 334-210-1199

Authorized person

Name MRS. JESSICA ROBERTS PIERCE
Role OWNER
Phone 3342034310

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role
Pierce, Jessica R Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State