Tiffany Dupree, CRNP | |
6 Office Park Cir Ste 215, Mountain Brk, AL 35223-2541 | |
(205) 201-0615 | |
(205) 878-9176 |
Full Name | Tiffany Dupree |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6 Office Park Cir Ste 215, Mountain Brk, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467904557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-129921 (Alabama) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1-129921 (Alabama) | Primary |
Entity Name | Pain And Rehabilitation Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518065994 PECOS PAC ID: 0749174571 Enrollment ID: O20040211001096 |
Entity Name | Pathway Healthcare Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053855122 PECOS PAC ID: 1658653548 Enrollment ID: O20170130001952 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Dupree, CRNP 1217 Narrows Point Nook, Birmingham, AL 35242-8679 Ph: () - | Tiffany Dupree, CRNP 6 Office Park Cir Ste 215, Mountain Brk, AL 35223-2541 Ph: (205) 201-0615 |
Mrs. Holly Marie Callaway, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Highway 280 S Ste 212, Mountain Brk, AL 35223 Phone: 205-878-4368 Fax: 205-878-4367 | |
Mary Jordan Conzelman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Highway 280 S Ste 212, Mountain Brk, AL 35223 Phone: 205-878-4368 | |
Ms. Dawn Sizemore Adams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Cahaba Village Plz Ste 110, Mountain Brk, AL 35243 Phone: 205-293-1205 | |
Diamond Santetreas Robinson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Office Park Cir, Mountain Brk, AL 35223 Phone: 205-933-0320 Fax: 205-933-6400 | |
Mary Catherine Culotta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Office Park Cir, Mountain Brk, AL 35223 Phone: 205-933-0320 Fax: 205-933-6400 | |
Wendy Clemons Cantrell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 Cahaba Rd, Mountain Brk, AL 35223 Phone: 205-877-9773 Fax: 205-877-9775 |