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: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 HIGHWAY 31 NW
HARTSELLE AL
35640-4481
US

IV. Provider business mailing address

PO BOX 2895
CULLMAN AL
35056-2895
US

V. Phone/Fax

Practice location:
  • Phone: 256-735-5900
  • Fax: 256-417-4719
Mailing address:
  • Phone: 256-735-5071
  • Fax: 256-801-7626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: