Healthcare Provider Details

I. General information

NPI: 1134819105
Provider Name (Legal Business Name): STEPHANIE LEE RAGLAND FNP- C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 2ND ST NE STE 201
ALABASTER AL
35007-8823
US

IV. Provider business mailing address

1770 INDEPENDENCE CT
VESTAVIA HILLS AL
35216-1259
US

V. Phone/Fax

Practice location:
  • Phone: 205-226-5900
  • Fax: 205-226-5937
Mailing address:
  • Phone: 205-226-5900
  • Fax: 205-226-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-078629
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: