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Johnny R Tice, FNP-C
Nurse Practitioner in Tuscaloosa, Alabama
NPI 1164825923

Johnny R Tice is a Nurse Practitioner based in Tisca;Ppsa, AL. Johnny R Tice practices in Tuscaloosa, AL and has the professional credentials of FNP-C. The NPI Number for Johnny R Tice is 1164825923 and holds a License No. 271591 (Alabama).

The current practice location address for Johnny R Tice is 115 Harper Court, Tuscaloosa, AL and can be reached out via phone at 205-366-3010 and via fax at 205-366-3012.

Location: 115 Harper Court, Tuscaloosa, AL, 35401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164825923
Provider Name
Johnny R Tice
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
115 Harper Court, Tuscaloosa, AL, 35401
Phone Number
205-366-3010
Fax Number
205-366-3012
Provider Enumeration Date
10/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164825923 05 NC
institution
Provider Business Practice Location Address Details
Address
115 Harper Court
City
Tuscaloosa
State
Alabama
Zip
35401-1250
Phone Number
205-366-3010
Fax Number
205-366-3012
person
Provider Business Mailing Address Details
Address
115 Harper Court
City
Tuscaloosa
State
Alabama
Zip
35401-1250
Phone Number
205-366-3010
Fax Number
205-366-3012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5007244 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
271591 (North Carolina)
Definition
Definition to come...
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