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

Jerry Ladon Outlaw, CRNP

Individual provider Family Nurse Practitioner · NPI 1609125202

Jerry Ladon Outlaw, CRNP is a Nurse Practitioner in Ozark, Alabama. Qualified in 2012, 14 years ago. Practices with Northwest Florida Healthcare, Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
14
Licensed in
AL
In the registry since
2012
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

145 Katherine Ave
Ozark, AL 36360-1987
Phone: (334) 774-5116
Fax: (334) 774-6848
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-070149 (AL)

Record details

NPI number1609125202
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northwest Florida Healthcare, Inc. — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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