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

Jordan Wall, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1972354538

Jordan Wall, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2018, 8 years ago. Practices with Diabetes Management Partners LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Licensed in
AL
In the registry since
2024
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

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone: (205) 939-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-159731 (AL)

Record details

NPI number1972354538
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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 Diabetes Management Partners Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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