Healthcare Provider Details

I. General information

NPI: 1982427464
Provider Name (Legal Business Name): BRITTANY HOLCOMB RUTHERFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 BAY ST
GADSDEN AL
35901-5108
US

IV. Provider business mailing address

179 BROADCAST BLVD
JACKSONVILLE AL
36265-6661
US

V. Phone/Fax

Practice location:
  • Phone: 256-543-0989
  • Fax: 256-952-1103
Mailing address:
  • Phone: 256-453-4603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-146856
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: