| Amanda Busby Lord, CRNP | |
| 9971 Airport Blvd, Mobile, AL 36608-9525 | |
| (251) 660-3500 | |
| (251) 660-3501 | 
| Full Name | Amanda Busby Lord | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 9971 Airport Blvd, Mobile, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013414630 | NPI | - | NPPES | 
| 1-131518 | Other | AL | LICENSE NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-131518 (Alabama) | Primary | 
| Entity Name | Baldwin Emergency Physicians, P.c.. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154378271 PECOS PAC ID: 4688627946 Enrollment ID: O20050225000807 | 
| Entity Name | Alabama Providence Healthcare Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245669514 PECOS PAC ID: 9638308430 Enrollment ID: O20140127000341 | 
| Entity Name | Physician Services Of The Gulf Coast Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366922023 PECOS PAC ID: 8426301607 Enrollment ID: O20230518002625 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Busby Lord, CRNP 1071 Hillside Ct, Mobile, AL 36695-9600 Ph: (251) 776-0688 | Amanda Busby Lord, CRNP 9971 Airport Blvd, Mobile, AL 36608-9525 Ph: (251) 660-3500 | 
| Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852 | |
| Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581 | |
| Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
| Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565 | |
| Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456 | |
| Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620 | |
| Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281 |