Provider Demographics
NPI:1255207338
Name:NORTH BAMA DRIP CO
Entity type:Organization
Organization Name:NORTH BAMA DRIP CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP
Authorized Official - Phone:256-558-4393
Mailing Address - Street 1:14580 AL HIGHWAY 68
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35962-3453
Mailing Address - Country:US
Mailing Address - Phone:256-558-4393
Mailing Address - Fax:
Practice Address - Street 1:14580 AL HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35962-3453
Practice Address - Country:US
Practice Address - Phone:256-558-4393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty