Provider Demographics
NPI:1174229124
Name:CUNNINGHAM, JIGISHA PATEL (CRNP)
Entity type:Individual
Prefix:
First Name:JIGISHA
Middle Name:PATEL
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 LOWELL DR SE STE 204
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3763
Mailing Address - Country:US
Mailing Address - Phone:256-536-9031
Mailing Address - Fax:
Practice Address - Street 1:420 LOWELL DR SE STE 204
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3763
Practice Address - Country:US
Practice Address - Phone:256-536-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-154112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily