Provider Demographics
NPI:1366842015
Name:GRAMLING, JAMES RICHARD (DNP, CRNP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:GRAMLING
Suffix:
Gender:M
Credentials:DNP, CRNP
Other - Prefix:MR
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:GRAMLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, CRNP
Mailing Address - Street 1:5890 VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8669
Mailing Address - Country:US
Mailing Address - Phone:205-655-7600
Mailing Address - Fax:
Practice Address - Street 1:5890 VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8669
Practice Address - Country:US
Practice Address - Phone:205-655-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-31
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-082096363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner