Healthcare Provider Details

I. General information

NPI: 1023577624
Provider Name (Legal Business Name): KRISTEN SCARBOROUGH DHAWAN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 1ST AVE N
BIRMINGHAM AL
35203-3011
US

IV. Provider business mailing address

717 DOWNTOWNER LOOP W
MOBILE AL
36609-5503
US

V. Phone/Fax

Practice location:
  • Phone: 404-688-9300
  • Fax:
Mailing address:
  • Phone: 228-860-5070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN292589
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-137810
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number903264
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: