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Charles Edward Fortenberry, RN
Nurse Practitioner in Decatur, Alabama
NPI 1023234648

Charles Edward Fortenberry is a Nurse Practitioner based in Decatur, AL. Charles Edward Fortenberry practices in Decatur, AL and has the professional credentials of RN. The NPI Number for Charles Edward Fortenberry is 1023234648 and holds a License No. 1-049601 (Alabama).

The current practice location address for Charles Edward Fortenberry is 1103 16Th Ave Se, Decatur, AL and can be reached out via phone at 256-350-0362.

Location: 1103 16Th Ave Se, Decatur, AL, 35601-3595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023234648
Provider Name
Charles Edward Fortenberry
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1103 16Th Ave Se, Decatur, AL, 35601-3595
Phone Number
256-350-0362
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51006076 01 AL BLUE CROSS BLUE SHIELD AL
891017506 05 AL
institution
Provider Business Practice Location Address Details
Address
1103 16Th Ave Se
City
Decatur
State
Alabama
Zip
35601-3595
Phone Number
256-350-0362
Fax Number
person
Provider Business Mailing Address Details
Address
1103 16Th Ave Se
City
Decatur
State
Alabama
Zip
35601-3595
Phone Number
256-350-0362
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1-049601 (Alabama)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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