MEDICARE: BRINLEY NICOLE ROGERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-180415	AL

General Provider Information

NPI Number	:	1801668413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRINLEY NICOLE ROGERS

Provider Business Mailing Address
First Line	:	333 SAMFORD VILLAGE CT STE B
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-6392
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 SAMFORD VILLAGE CT STE B
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-6392
Country	:	US
Telephone Number	:	334-458-9256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/26/2023

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Directions to “ BRINLEY NICOLE ROGERS ” Practice Location

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