Healthcare Provider Details

I. General information

NPI: 1124369566
Provider Name (Legal Business Name): GINGER COLE SEXTON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINGER ANNETTE COLE CRNP

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 BROOKWOOD MEDICAL CTR DR SUITE 602 WMP
BIRMINGHAM AL
35209-6899
US

IV. Provider business mailing address

2000 MORRIS AVE SUITE 1610
BIRMINGHAM AL
35203-4167
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-5113
  • Fax: 205-877-5130
Mailing address:
  • Phone: 901-568-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-123626
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: