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Southern Family Practice,llc
Nurse Practitioner in Geneva, Alabama
NPI 1770734543

Southern Family Practice,llc is a Nurse Practitioner based in Geneva, AL. Southern Family Practice,llc practices in Geneva, AL. The NPI Number for Southern Family Practice,llc is 1770734543 and holds a License No. 1-074572 (Alabama).

The current practice location address for Southern Family Practice,llc is 100 W Lake Professional Park Ste 1, Geneva, AL and can be reached out via phone at 334-684-9400 and via fax at 334-684-6262. You can also correspond with Southern Family Practice,llc through the mailing address at 100 W LAKE PROFESSIONAL PARK STE 1, GENEVA, AL - 36340-1200 (mailing address contact number: 334-684-9400).

Location: 100 W Lake Professional Park Ste 1, Geneva, AL, 36340-1200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770734543
Provider Name
Southern Family Practice,llc
Credential
Provider Entity Type
Organization
Address
100 W Lake Professional Park Ste 1, Geneva, AL, 36340-1200
Phone Number
334-684-9400
Fax Number
334-684-6262
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051593913 01 AL BLUECROSS BLUESHIELD OF AL.
108157 05 AL
510G700444 01 AL MEDICARE OF ALABAMA
institution
Provider Business Practice Location Address Details
Address
100 W Lake Professional Park Ste 1
City
Geneva
State
Alabama
Zip
36340-1200
Phone Number
334-684-9400
Fax Number
334-684-6262
person
Provider Business Mailing Address Details
Address
100 W Lake Professional Park Ste 1
City
Geneva
State
Alabama
Zip
36340-1200
Phone Number
334-684-9400
Fax Number
334-684-6262
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1-074572 ()
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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