Provider Demographics
NPI:1770153744
Name:HERRINGTON, JAMES BRETT (FNP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRETT
Last Name:HERRINGTON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108C MCMEANS AVE
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-3130
Mailing Address - Country:US
Mailing Address - Phone:251-445-3391
Mailing Address - Fax:251-445-3722
Practice Address - Street 1:108C MCMEANS AVE
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-3130
Practice Address - Country:US
Practice Address - Phone:251-491-0059
Practice Address - Fax:251-571-4002
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-148446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL337273Medicaid