Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jalesa Symone Long, CRNP

Individual provider Nurse Practitioner · NPI 1477114213

Jalesa Symone Long, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2018, 8 years ago. Practices with Champion Sports Medicine Birmingham, LLC, a 187-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
8
Licensed in
AL
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2010 Avenue F
Birmingham, AL 35218-1638
Phone: (256) 460-8109
Fax: (205) 788-4767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-138748 (AL)

Record details

NPI number1477114213
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJune 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Champion Sports Medicine Birmingham, Llc — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Birmingham