Provider Demographics
NPI:1982084877
Name:HYDE, KERI MCLENDON (DNP, CRNP, AOCNP)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:MCLENDON
Last Name:HYDE
Suffix:
Gender:F
Credentials:DNP, CRNP, AOCNP
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:JEAN
Other - Last Name:MCLENDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CRNP
Mailing Address - Street 1:201 DOUG BAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2013
Mailing Address - Country:US
Mailing Address - Phone:205-408-3933
Mailing Address - Fax:205-408-3934
Practice Address - Street 1:201 DOUG BAKER BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2013
Practice Address - Country:US
Practice Address - Phone:205-408-3933
Practice Address - Fax:205-408-3934
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-133862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily