Organization · Type 2 NPI

Providence Healthcare Services Inc

Nurse Practitioner · Mobile, AL

NPI number 1689934085 Active

Practice location

6701 Airport Blvd, Suite C132
Mobile, AL 36608-6705

Fax (251) 631-3504

Mailing address

PO Box 850489
Mobile, AL 36685-0489

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-071676 (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 1689934085

Providence Healthcare Services Inc's National Provider Identifier is 1689934085, issued on May 21, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mobile, AL. The record was last updated on May 21, 2012.