Healthcare Provider Details

I. General information

NPI: 1376451146
Provider Name (Legal Business Name): MAKEEBA S HOLIFIELD MSN, CRNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MCFARLAND BLVD
NORTHPORT AL
35476-2943
US

IV. Provider business mailing address

PO BOX 363
BRENT AL
35034-0363
US

V. Phone/Fax

Practice location:
  • Phone: 205-339-5300
  • Fax: 205-333-9186
Mailing address:
  • Phone: 205-233-7958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-144207
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: