Healthcare Provider Details

I. General information

NPI: 1396150827
Provider Name (Legal Business Name): GIZELLE STEVENS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 GREENBRIER DEAR RD
ANNISTON AL
36207-8706
US

IV. Provider business mailing address

1425 GREENBRIER DEAR RD
ANNISTON AL
36207-8706
US

V. Phone/Fax

Practice location:
  • Phone: 256-848-8048
  • Fax: 256-848-8049
Mailing address:
  • Phone: 256-848-8048
  • Fax: 256-848-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD.39494
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD491887C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: