| Stephanie Grider Phillips, CRNP | |
|
23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | |
| (256) 999-0808 | |
| Not Available |
| Full Name | Stephanie Grider Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 23800 John T Reid Pkwy, Scottsboro, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790092906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-101961 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-101961 (Alabama) | Primary |
| Entity Name | Scottsboro Pediatrics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376966416 PECOS PAC ID: 1355573551 Enrollment ID: O20140422000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Grider Phillips, CRNP 23800 John T Reid Parkway, Scottsboro, AL 35768 Ph: (256) 999-0808 | Stephanie Grider Phillips, CRNP 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 Ph: (256) 999-0808 |
Marla Byrum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 W Cloverdale Rd, Scottsboro, AL 35768 Phone: 337-991-9276 | |
Mrs. Maura Owens Galvez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 | |
Mrs. Dakota Ellis Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Woods Cove Rd, Scottsboro, AL 35768 Phone: 256-218-3340 Fax: 256-218-3655 | |
Julie Elizabeth Johnson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Veterans Dr Ste 107, Scottsboro, AL 35769 Phone: 256-999-0337 Fax: 256-999-0335 | |
Ms. Charis W Peek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2207 Moody Ridge Rd, Scottsboro, AL 35768 Phone: 256-259-1327 | |
Claudette B Wygal, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Burlington St, Scottsboro, AL 35768 Phone: 256-259-4100 Fax: 256-259-4104 | |
Mrs. Laura C Walls, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 S Broad St Ste 300, Scottsboro, AL 35768 Phone: 256-259-3600 Fax: 256-256-3601 |