Organization · Type 2 NPI

Eastern Shore Developmental Clinic

Nurse Practitioner · Daphne, AL

NPI number 1023455953 Active

Practice location

26420 Kensington Pl Ste A
Daphne, AL 36526-5123

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X00008950 (AL)
Nurse Practitioner Primary 363L00000X1076812 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023455953

Eastern Shore Developmental Clinic's National Provider Identifier is 1023455953, issued on Jun 2, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daphne, AL. The record was last updated on Jun 2, 2013.