MEDICARE: CARLEY CHEYENNE FLOYD CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1-189669	AL

General Provider Information

NPI Number	:	1568317402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEY CHEYENNE FLOYD CRNP

Provider Business Mailing Address
First Line	:	PO BOX 830525
Second Line	:	DEPT# SF 123
City	:	BIRMINGHAM
State	:	AL
Zip	:	35283-0525
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CONCOURSE PKWY STE 101
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-2905
Country	:	US
Telephone Number	:	205-444-0420
Fax Number	:	205-403-0747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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