Healthcare Provider Details

I. General information

NPI: 1326306358
Provider Name (Legal Business Name): RHONDA SNOW DAVIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA MISHAUN DUBOSE

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 9TH ST
TUSCALOOSA AL
35401-2300
US

IV. Provider business mailing address

2209 9TH ST
TUSCALOOSA AL
35401-2300
US

V. Phone/Fax

Practice location:
  • Phone: 205-391-3131
  • Fax:
Mailing address:
  • Phone: 205-391-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number906052
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-049528
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number64620
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1048904
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number31533
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: