Healthcare Provider Details

I. General information

NPI: 1508383639
Provider Name (Legal Business Name): NICOLE PARKER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 HUNTLEY PKWY
PELHAM AL
35124-6164
US

IV. Provider business mailing address

3029 ALLISON BONNETT MEMORIAL DR
BESSEMER AL
35023-2467
US

V. Phone/Fax

Practice location:
  • Phone: 205-624-4524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-143323
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: