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General NPI Number Information
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NPI Number | 1740477025
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Entity Type | Individual
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Provider Name | CHERYL VONCILLE HARVEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 4555 SAINT STEPHENS RD
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City | EIGHT MILE
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State | AL
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Zip | 36613-3563
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Country | US
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Telephone | 251-456-1399
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Fax | 251-456-0079
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Provider Business Mailing Address
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Address Line | 251 N BAYOU ST P O BOX 2867
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City | MOBILE
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State | AL
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Zip | 36603-5827
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Country | US
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Telephone | 251-690-8158
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Fax | 251-544-2188
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-045566
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-045566
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License Number State | AL
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