Healthcare Provider Details

I. General information

NPI: 1285058735
Provider Name (Legal Business Name): DAVID HURLEY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21141 STATE HIGHWAY 59 STE 1
ROBERTSDALE AL
36567-6740
US

IV. Provider business mailing address

21141 STATE HIGHWAY 59 STE 1
ROBERTSDALE AL
36567-6751
US

V. Phone/Fax

Practice location:
  • Phone: 251-424-1160
  • Fax: 251-424-1161
Mailing address:
  • Phone: 251-424-1160
  • Fax: 251-424-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-116469
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: