Provider Demographics
NPI:1659466258
Name:NEONATAL NURSE PRACTITIONER SERVICES OF ALABAMA, INC.
Entity Type:Organization
Organization Name:NEONATAL NURSE PRACTITIONER SERVICES OF ALABAMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:DRISKILL
Authorized Official - Suffix:
Authorized Official - Credentials:NNP
Authorized Official - Phone:205-833-8401
Mailing Address - Street 1:433 EXETER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206
Mailing Address - Country:US
Mailing Address - Phone:205-833-8401
Mailing Address - Fax:205-833-4146
Practice Address - Street 1:433 EXETER DRIVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35206
Practice Address - Country:US
Practice Address - Phone:205-833-8401
Practice Address - Fax:205-833-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-026777363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical CareGroup - Single Specialty