Provider Demographics
NPI:1952664682
Name:CEASE, ALLISON STEWART (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:STEWART
Last Name:CEASE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 1ST AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-4050
Mailing Address - Country:US
Mailing Address - Phone:205-933-0987
Mailing Address - Fax:205-930-1758
Practice Address - Street 1:1927 1ST AVE N STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4050
Practice Address - Country:US
Practice Address - Phone:205-933-0987
Practice Address - Fax:205-930-1758
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR890980363L00000X
AL1-122067363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL528902170Medicaid