Healthcare Provider Details

I. General information

NPI: 1205130499
Provider Name (Legal Business Name): ROBERT CRAIG ESPY CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2011
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DOCTORS DR
DOTHAN AL
36301-2949
US

IV. Provider business mailing address

208 E CLENDINEN ST
ABBEVILLE AL
36310-2404
US

V. Phone/Fax

Practice location:
  • Phone: 334-794-6611
  • Fax:
Mailing address:
  • Phone: 334-400-7957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-105406
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: