Provider Demographics
NPI:1740657170
Name:CRAWFORD, FELECIA (FNP)
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9677 HIGHWAY 21
Mailing Address - Street 2:101 AIRPORT COMMONS CALERA, AL 35040
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-4271
Mailing Address - Country:US
Mailing Address - Phone:251-368-6467
Mailing Address - Fax:251-368-3528
Practice Address - Street 1:9677 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-4271
Practice Address - Country:US
Practice Address - Phone:251-368-6467
Practice Address - Fax:251-368-3528
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-093771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily