Individual
LILLIAN GRACE SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 768-7453
(256) 765-2036
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175980
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-175980
AL
Other
Enumeration date
04/23/2020
Last updated
03/10/2025
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