Individual
STEPHANIE ANN KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Mailing address
1012 N CARLISLE ST, ALBERTVILLE, AL 35951-3853
(256) 891-7561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-102431
AL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1-102431
AL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
1-102431
AL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1-102431
AL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1-102431
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529541
BCBS
AL
01
—
630638946001
CHAMPUS/TRICARE
AL
Enumeration date
08/11/2006
Last updated
01/21/2025
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