Healthcare Provider Details

I. General information

NPI: 1417811357
Provider Name (Legal Business Name): HANNAH KALLI HULSEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42320 HIGHWAY 195
HALEYVILLE AL
35565-7064
US

IV. Provider business mailing address

2100 COUNTY HIGHWAY 76
HALEYVILLE AL
35565-3626
US

V. Phone/Fax

Practice location:
  • Phone: 205-486-8899
  • Fax: 205-486-8908
Mailing address:
  • Phone: 205-494-9053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-173395
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: