Individual
MRS. MARY REBECCA EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
(888) 977-1691
Mailing address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
(256) 997-5995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-136901
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-136901
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383376
—
AL
05
—
183372
—
AL
05
—
184800
—
AL
05
—
185041
—
AL
Enumeration date
12/29/2015
Last updated
04/15/2019
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