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

Individual provider Family Nurse Practitioner · NPI 1831813120

Molly Jackson Gwin, CRNP is a Nurse Practitioner in Tuscaloosa, Alabama. Qualified in 2022, 4 years ago. Practices with Southeast Physician Network, PC, a 46-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022
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

100 Rice Mine Rd N Ste 100
Tuscaloosa, AL 35406-3905
Phone: (205) 349-4200
Fax: (205) 558-9190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F0722137 (AL)

Record details

NPI number1831813120
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeast Physician Network, P.C. — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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