NPI 1396210472 · live from the CMS NPI Registry
Dana Stubblefield Duff, CPNP-PC
Nurse Practitioner, Pediatrics in Talladega, AL. National Provider Identifier 1396210472, active.
NPI record
| NPI | 1396210472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 722 Stone Ave, Talladega, AL 35160 |
| Practice phone | 256-362-1725 |
| Mailing address | 1130 22nd St S Ste 1000, Birmingham, AL 35205 |
| Enumerated | October 4, 2018 |
| Last updated | November 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-144930 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.