Healthcare Provider Details

I. General information

NPI: 1932044823
Provider Name (Legal Business Name): CAROLINE CORDELL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S FL 5
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

2000 6TH AVE S
BIRMINGHAM AL
35233-2110
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-2873
  • Fax:
Mailing address:
  • Phone: 706-676-8416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-206642
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: