Healthcare Provider Details
I. General information
NPI: 1124633102
Provider Name (Legal Business Name): ASHLIE BARNES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/15/2020
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US
IV. Provider business mailing address
50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US
V. Phone/Fax
- Phone: 205-838-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 1-123663 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: