Provider Demographics
NPI:1215598511
Name:FLANNAGIN, HALLI (CRNP)
Entity Type:Individual
Prefix:
First Name:HALLI
Middle Name:
Last Name:FLANNAGIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 POINT MALLARD PKWY SE STE N
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-5760
Mailing Address - Country:US
Mailing Address - Phone:256-432-2822
Mailing Address - Fax:
Practice Address - Street 1:434 E PIKE RD
Practice Address - Street 2:
Practice Address - City:FALKVILLE
Practice Address - State:AL
Practice Address - Zip Code:35622-5109
Practice Address - Country:US
Practice Address - Phone:256-784-2200
Practice Address - Fax:256-784-2203
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-134211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily