Healthcare Provider Details

I. General information

NPI: 1245160902
Provider Name (Legal Business Name): PORTER HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 SHELTON COVE LN
AUBURN AL
36830-1455
US

IV. Provider business mailing address

120 19TH ST N STE 201
BIRMINGHAM AL
35203-3219
US

V. Phone/Fax

Practice location:
  • Phone: 334-559-4312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANAIDRA REESE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: NP
Phone: 334-559-4312