Healthcare Provider Details

I. General information

NPI: 1851841340
Provider Name (Legal Business Name): BRITTANY STOKES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7067 VETERANS PKWY STE 210
PELL CITY AL
35125-5128
US

IV. Provider business mailing address

BALLARD PAIN AND WELLNESS INC 7067 VETERANS PARKWAY, SUITE 210
PELL CITY AL
35125-5118
US

V. Phone/Fax

Practice location:
  • Phone: 205-405-7348
  • Fax: 205-338-0550
Mailing address:
  • Phone: 205-405-7348
  • Fax: 53-380-5502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1-128388
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-128388
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: