Healthcare Provider Details

I. General information

NPI: 1598398356
Provider Name (Legal Business Name): ASHLEY PITTMAN SMITH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ASHLEY ELIZABETH PITTMAN

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

10 WOODMONT CIR
BIRMINGHAM AL
35209-6646
US

V. Phone/Fax

Practice location:
  • Phone: 205-790-1603
  • Fax: 205-638-3750
Mailing address:
  • Phone: 205-790-1603
  • Fax: 205-638-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1-153709
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: