Healthcare Provider Details

I. General information

NPI: 1568372076
Provider Name (Legal Business Name): TARSHA MESHA WYNN-SCOTT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

4404 BESSEMER SUPER HWY
BRIGHTON AL
35020-2415
US

IV. Provider business mailing address

2225 DARTMOUTH AVE
BESSEMER AL
35020-5128
US

V. Phone/Fax

Practice location:
  • Phone: 205-337-7677
  • Fax: 205-332-1885
Mailing address:
  • Phone: 205-337-7677
  • Fax: 205-332-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number08260076
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: