Healthcare Provider Details

I. General information

NPI: 1285403717
Provider Name (Legal Business Name): ADRIANA STEGALL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12935 US 231
HAZEL GREEN AL
35750
US

IV. Provider business mailing address

12935 US 231
HAZEL GREEN AL
35750
US

V. Phone/Fax

Practice location:
  • Phone: 256-828-6766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-175983
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: