Individual
ASHLEY STINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 758-6647
(205) 752-1517
Mailing address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 758-6647
(205) 752-1517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-157791
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8280944
DRIVER LICENSE
AL
Enumeration date
07/07/2020
Last updated
08/10/2021
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