Healthcare Provider Details

I. General information

NPI: 1124796230
Provider Name (Legal Business Name): ABBY CHRISTINA SMITHERMAN AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ABBY CHRISTINA SIMS

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 2ND AVE S
BIRMINGHAM AL
35294-0004
US

IV. Provider business mailing address

1841 CHARLOTTE DR
HOOVER AL
35226-2634
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-6870
  • Fax:
Mailing address:
  • Phone: 256-810-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-176023
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: