Healthcare Provider Details

I. General information

NPI: 1396405544
Provider Name (Legal Business Name): MONICA LEIGH STOVER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 HIGHWAY 31 NW STE F
HARTSELLE AL
35640-4469
US

IV. Provider business mailing address

1199 HIGHWAY 31 NW STE F
HARTSELLE AL
35640-4469
US

V. Phone/Fax

Practice location:
  • Phone: 256-965-3010
  • Fax: 256-965-3021
Mailing address:
  • Phone: 256-965-3010
  • Fax: 256-965-3021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-138928
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: