SOUTHERN NP ASSOCIATES LLC NPI 1407257447

NPI Information

  • NPI: 1407257447
  • Provider Name: SOUTHERN NP ASSOCIATES, LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • CLIA Number: 01D2000676
  • Address: 931 FAIRFAX PARK
    TUSCALOOSA, AL
    ZIP 35406
  • Phone: (205) 391-3600

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NPI Details

SOUTHERN NP ASSOCIATES, LLC is an adult health nurse practitioner in Tuscaloosa, AL. SOUTHERN NP ASSOCIATES, LLC NPI is 1407257447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

931 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406-805
Phone: (205) 391-3600

The provider's authorized official is Phillip Cody Long .
The authorized official title is Vice President/cfo and has the following contact phone number (205) 391-3600.

The CLIA number assigned to this NPI record is 01D2000676 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 2/24/2020.

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
1363LA2200XNurse PractitionerAdult HealthYes

What is NPI?

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

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