THE COULTER CLINIC LLC NPI 1710709654

NPI Information

  • NPI: 1710709654
  • Provider Name: THE COULTER CLINIC, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1405 SW JEFFERSON ST
    ATHENS, AL
    ZIP 35611
  • Phone: (256) 780-0216

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NPI Details

THE COULTER CLINIC, LLC is a family nurse practitioner in Athens, AL. THE COULTER CLINIC, LLC NPI is 1710709654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 SW JEFFERSON ST
ATHENS, AL
ZIP 35611-531
Phone: (256) 780-0216
Fax: (256) 780-0218

The provider's authorized official is Morgan Bates Coulter .
The authorized official title is Clinic Owner, Fnp and has the following contact phone number (256) 780-0216.

The enumeration date for this NPI number is 10/31/2024 and was last updated on 10/31/2024.

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
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11-154372OTHERALABAMAPROVIDER LICENSE NUMBER

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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