SOUTHEASTERN WOUND CARE NPI 1275648420

NPI Information

  • NPI: 1275648420
  • Provider Name: SOUTHEASTERN WOUND CARE
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • :
  • Address: 705 SOUTH 3RD STREET
    GADSDEN, AL
    ZIP 35901
  • Phone: (256) 546-9558

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NPI Details

SOUTHEASTERN WOUND CARE is a nurse practitioner in Gadsden, AL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SOUTHEASTERN WOUND CARE NPI is 1275648420. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

705 SOUTH 3RD STREET
GADSDEN, AL
ZIP 35901
Phone: (256) 546-9558

The provider's authorized official is Odeane H Connor .
The authorized official title is Physician/owner and has the following contact phone number (256) 546-9558.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist00023743ALABAMANo
2363L00000XNurse Practitioner1089350ALABAMANo
3363L00000XNurse Practitioner1082016ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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