Organization
AUTUMN STANFORD, PMHNP-BC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN LYNN STANFORD PMHNP-BC (OWNER)
(615) 295-1914
Entity
Organization
Contact information
Practice address
1001 BEAUMONT AVENUE, SUITE 102, BIRMINGHAM, AL 35242
(615) 295-1914
Mailing address
1001 BEAUMONT AVENUE, SUITE 102, BIRMINGHAM, AL 35242
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/31/2024
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