Provider Demographics
NPI:1598121816
Name:BUCKLEY, ALYSON NICOLE (MSN,APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:NICOLE
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:MSN,APRN, FNP-C
Other - Prefix:
Other - First Name:ALYSON
Other - Middle Name:NICOLE
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-434-3626
Mailing Address - Fax:251-445-2464
Practice Address - Street 1:2451 UNIVERSITY HOSPITAL DRIVE
Practice Address - Street 2:MASTIN 101
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2300
Practice Address - Country:US
Practice Address - Phone:251-445-8282
Practice Address - Fax:251-445-8289
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKF0116590363L00000X
AL1-167764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner