Individual
NICOLE BISHOP DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
508 GREEN ST, GREENSBORO, AL 36744-2316
(334) 624-4442
Mailing address
199 TAYLOR RD, MOUNDVILLE, AL 35474-0138
(205) 292-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06260368
AL
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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