Healthcare Provider Details

I. General information

NPI: 1982084877
Provider Name (Legal Business Name): KERI MCLENDON HYDE DNP, CRNP, AOCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KERI JEAN MCLENDON DNP, CRNP

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 CHELSEA CORNERS WAY
CHELSEA AL
35043-8241
US

IV. Provider business mailing address

4200 COLONNADE PKWY
BIRMINGHAM AL
35243-2342
US

V. Phone/Fax

Practice location:
  • Phone: 205-678-7779
  • Fax: 205-678-0335
Mailing address:
  • Phone: 205-971-7613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-133862
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: