Healthcare Provider Details

I. General information

NPI: 1184568867
Provider Name (Legal Business Name): ALECIA STOVALL HOLCOMBE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 LEIGHTON AVE
ANNISTON AL
36207-3827
US

IV. Provider business mailing address

PO BOX 2610
ANNISTON AL
36202-2610
US

V. Phone/Fax

Practice location:
  • Phone: 256-241-0885
  • Fax: 256-847-8536
Mailing address:
  • Phone: 256-241-0885
  • Fax: 256-847-8536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-182853
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: