Individual
STACEY L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2646
Mailing address
PO BOX 10583, BIRMINGHAM, AL 35202-0583
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-108166
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141468
—
AL
01
—
511-28741
BCBS
AL
Enumeration date
07/30/2012
Last updated
01/10/2013
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