Healthcare Provider Details

I. General information

NPI: 1992400923
Provider Name (Legal Business Name): MRS. HANNAH ELIZABETH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 INDEPENDENCE DR
BIRMINGHAM AL
35209-5604
US

IV. Provider business mailing address

3490 INDEPENDENCE DR
BIRMINGHAM AL
35209-5604
US

V. Phone/Fax

Practice location:
  • Phone: 205-874-0000
  • Fax: 205-874-7021
Mailing address:
  • Phone: 205-874-0000
  • Fax: 205-874-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1189009
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: