Healthcare Provider Details

I. General information

NPI: 1902287295
Provider Name (Legal Business Name): CHRISTY DARLINE MYRICK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTY DARLINE GIST-SWEAT CRNP

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 NANCE FORD RD SW STE M
HARTSELLE AL
35640-3767
US

IV. Provider business mailing address

711 NANCE FORD RD SW STE M
HARTSELLE AL
35640-3767
US

V. Phone/Fax

Practice location:
  • Phone: 256-754-5021
  • Fax: 256-754-5024
Mailing address:
  • Phone: 256-754-5021
  • Fax: 256-754-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1-105765
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-105765
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number1-105765
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-105765
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: