| Brooklyn Champion, CRNP | |
|
1010 Christine Ave, Anniston, AL 36207-5782 | |
| (256) 236-5631 | |
| Not Available |
| Full Name | Brooklyn Champion |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1010 Christine Ave, Anniston, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871264515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-178231 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-178231 (Alabama) | Primary |
| Entity Name | Anniston Medical Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619080017 PECOS PAC ID: 0244125854 Enrollment ID: O20040220000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Champion, CRNP 1010 Christine Ave, Anniston, AL 36207-5782 Ph: () - | Brooklyn Champion, CRNP 1010 Christine Ave, Anniston, AL 36207-5782 Ph: (256) 236-5631 |
Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Ashley Marie Roberts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5211 | |
Mary Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
Cori Clark Broadhead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896 | |
Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 |