Healthcare Provider Details

I. General information

NPI: 1275285488
Provider Name (Legal Business Name): COURTNEY M GILMORE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DOUG BAKER BLVD
HOOVER AL
35242-2013
US

IV. Provider business mailing address

4200 COLONNADE PKWY
BIRMINGHAM AL
35243-2342
US

V. Phone/Fax

Practice location:
  • Phone: 205-408-3933
  • Fax: 205-408-3934
Mailing address:
  • Phone: 205-971-7613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number1-161918
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-161918
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: