| Mr Charles Randall Stephens, CRNP | |
|
1190 Main Street, Sumiton, AL 35148 | |
| (205) 648-2660 | |
| Not Available |
| Full Name | Mr Charles Randall Stephens |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1190 Main Street, Sumiton, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578562096 | NPI | - | NPPES |
| 9772559 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R0082474 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-072559 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Randall Stephens, CRNP 129 Lockerbie Ln, Dora, AL 35062-4466 Ph: (205) 901-8850 | Mr Charles Randall Stephens, CRNP 1190 Main Street, Sumiton, AL 35148 Ph: (205) 648-2660 |
Billie Renee Russell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 State St, Sumiton, AL 35148 Phone: 205-255-6206 Fax: 205-255-7180 | |
Terra G Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1190 Main Street, Sumiton, AL 35148 Phone: 205-648-2660 Fax: 205-648-2886 | |
Lisbeth Caroline Thornley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 497 Main St, Sumiton, AL 35148 Phone: 205-648-7887 Fax: 205-648-5115 |