Individual provider · Type 1 NPI
Charles Wilburn Long Iii, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Birmingham, AL
NPI number
1912599309
Active
Practice location
135 Gemini Cir
Birmingham, AL 35209-5842
Fax (205) 293-2270
Other practice locations
- 2501 International Park Dr, Birmingham, AL 35243-4253 · (844) 810-7340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1-141931 (AL) |
| Registered Nurse | 163W00000X | 1-141931 (AL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1912599309
Charles Wilburn Long Iii, PMHNP-BC's National Provider Identifier is 1912599309, issued on Feb 7, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Birmingham, AL. The record was last updated on Oct 6, 2026.