Healthcare Provider Details

I. General information

NPI: 1396119244
Provider Name (Legal Business Name): REBEKAH DAY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5947 HIGHWAY 269
PARRISH AL
35580-3847
US

IV. Provider business mailing address

PO BOX 169
PARRISH AL
35580-0169
US

V. Phone/Fax

Practice location:
  • Phone: 205-686-5113
  • Fax:
Mailing address:
  • Phone: 205-686-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-112999
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: