Provider Demographics
NPI:1134446206
Name:TOMLINSON, BARBARA DALE (CRNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:DALE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DALE
Other - Middle Name:TOMLINSON
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:205-297-9411
Practice Address - Street 1:1701 UNIVERSITY BLVD
Practice Address - Street 2:528 C SON BUILDING
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1815
Practice Address - Country:US
Practice Address - Phone:205-996-9833
Practice Address - Fax:205-996-9165
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-027923363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05235532OtherMISSISSIPPI MEDICAID
AL051106871OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL051106866OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL051106869OtherBLUE CROSS BLUE SHIELD OF ALABAMA