Healthcare Provider Details

I. General information

NPI: 1821931619
Provider Name (Legal Business Name): VILLAGE PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1747 OGLETREE RD STE B
AUBURN AL
36830-6648
US

IV. Provider business mailing address

1747 OGLETREE RD STE B
AUBURN AL
36830-6648
US

V. Phone/Fax

Practice location:
  • Phone: 334-787-9300
  • Fax: 334-787-9306
Mailing address:
  • Phone: 334-787-9300
  • Fax: 334-787-9306

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: CONSTANCE D CALLEN
Title or Position: OWNER
Credential: CRNP
Phone: 334-539-7761