Provider Demographics
NPI:1033666276
Name:MASSEY, NICOLE BAEKEY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:BAEKEY
Last Name:MASSEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:CHRISTA
Other - Last Name:BAEKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR POB III
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1606
Mailing Address - Country:US
Mailing Address - Phone:205-933-4640
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 ST VINCENT'S DRIVE
Practice Address - Street 2:POB III SUITE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3520
Practice Address - Country:US
Practice Address - Phone:205-933-4640
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-123579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily