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

Jamillia Renea Short

Individual provider Family Nurse Practitioner · NPI 1912789843

Jamillia Renea Short is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2023, 3 years ago. Practices with Southern NP Associates LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235
Phone: (205) 758-6647
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-172032 (AL)

Record details

NPI number1912789843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern Np Associates Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tuscaloosa