Individual
MS. TENYIA CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S WILSON AVE, PRICHARD, AL 36610-3910
(251) 452-1442
(251) 330-2156
Mailing address
PO BOX 2048, MOBILE, AL 36652-2048
(251) 432-4117
(251) 330-2156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1116996
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-116996
STATE LICENSE
AL
Enumeration date
11/23/2022
Last updated
11/23/2022
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