Healthcare Provider Details

I. General information

NPI: 1578119921
Provider Name (Legal Business Name): STEPHANIE RENEE COX NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 BOLL WEEVIL CIR
ENTERPRISE AL
36330-1317
US

IV. Provider business mailing address

1026 BOLL WEEVIL CIR
ENTERPRISE AL
36330-1317
US

V. Phone/Fax

Practice location:
  • Phone: 334-489-9115
  • Fax: 334-489-9116
Mailing address:
  • Phone: 334-489-9115
  • Fax: 334-489-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-101283
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: