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Ms. Brandy Nicholson
Family Nurse Practitioner in Loxley, Alabama
NPI 1265141782

Brandy Nicholson is a Family Nurse Practitioner based in Mobile, AL and is specialized in Family. Brandy Nicholson practices in Loxley, AL. The NPI Number for Brandy Nicholson is 1265141782 and holds a License No. 1133579 (Alabama).

The current practice location address for Brandy Nicholson is 1083 E Relham Dr, Loxley, AL and can be reached out via phone at 251-964-4011 and via fax at 251-964-4012.

Location: 1083 E Relham Dr, Loxley, AL, 36652-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265141782
Provider Name
Brandy Nicholson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1083 E Relham Dr, Loxley, AL, 36652-2048
Phone Number
251-964-4011
Fax Number
251-964-4012
Provider Enumeration Date
11/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1133579 01 AL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1083 E Relham Dr
City
Loxley
State
Alabama
Zip
36551-2406
Phone Number
251-964-4011
Fax Number
251-964-4012
person
Provider Business Mailing Address Details
Address
1083 E Relham Dr
City
Loxley
State
Alabama
Zip
36551-2406
Phone Number
251-964-4011
Fax Number
251-964-4012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1133579 (Alabama)
Definition
Definition to come...
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