Healthcare Provider Details

I. General information

NPI: 1306656814
Provider Name (Legal Business Name): ANN MCQUEEN WHATLEY UPTON APRN, CNM, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 1ST AVE S
BIRMINGHAM AL
35212-2522
US

IV. Provider business mailing address

5720 1ST AVE S
BIRMINGHAM AL
35212-2522
US

V. Phone/Fax

Practice location:
  • Phone: 205-380-9455
  • Fax: 205-380-9459
Mailing address:
  • Phone: 205-380-9455
  • Fax: 205-380-9459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1-208486
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-208486
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1-208486
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: