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Mr. Charles Randall Stephens, CRNP
Family Nurse Practitioner in Sumiton, Alabama
NPI 1578562096

Charles Randall Stephens is a Family Nurse Practitioner based in Dora, AL and is specialized in Family. Charles Randall Stephens practices in Sumiton, AL and has the professional credentials of CRNP. The NPI Number for Charles Randall Stephens is 1578562096 and holds a License No. R0082474 (Alabama).

The current practice location address for Charles Randall Stephens is 1190 Main Street, Sumiton, AL and can be reached out via phone at 205-648-2660.

Location: 1190 Main Street, Sumiton, AL, 35062-4466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578562096
Provider Name
Charles Randall Stephens
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
1190 Main Street, Sumiton, AL, 35062-4466
Phone Number
205-648-2660
Fax Number
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9772559 05 OK
institution
Provider Business Practice Location Address Details
Address
1190 Main Street
City
Sumiton
State
Alabama
Zip
35148
Phone Number
205-648-2660
Fax Number
person
Provider Business Mailing Address Details
Address
1190 Main Street
City
Sumiton
State
Alabama
Zip
35148
Phone Number
205-648-2660
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R0082474 (Oklahoma)
Definition
Definition to come...
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