| Brooklyn Champion, CRNP | |
|
1622 Hillyer Robinson Industrial Pkwy S, Oxford, AL 36203-1305 | |
| (256) 419-0805 | |
| (256) 419-0812 |
| Full Name | Brooklyn Champion |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1622 Hillyer Robinson Industrial Pkwy S, Oxford, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871264515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-178231 (Alabama) | Primary |
| 163W00000X | Registered Nurse | 1-178231 (Alabama) | Secondary |
| Entity Name | Anniston Medical Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619080017 PECOS PAC ID: 0244125854 Enrollment ID: O20040220000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Champion, CRNP 1622 Hillyer Robinson Industrial Pkwy S, Oxford, AL 36203-1305 Ph: (256) 419-0805 | Brooklyn Champion, CRNP 1622 Hillyer Robinson Industrial Pkwy S, Oxford, AL 36203-1305 Ph: (256) 419-0805 |
Mrs. Paige Matheson Hughes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Ali Way, Oxford, AL 36203 Phone: 256-832-8802 Fax: 256-832-8877 | |
Amy C Ledbetter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 Willow Cove Rd, Oxford, AL 36203 Phone: 256-343-1626 Fax: 256-854-2470 | |
Jessica Marie Gamberi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 Hale St, Oxford, AL 36203 Phone: 731-394-1145 | |
Peri Bryant Gwaltney, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Holmes Dr, Oxford, AL 36203 Phone: 256-448-3578 | |
Jessica Glass, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Highway Dr, Oxford, AL 36203 Phone: 256-231-7500 | |
Ms. Komfort Cofield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Ali Way, Oxford, AL 36203 Phone: 256-832-8802 | |
Andrea Lee Freng, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1130 Hale St, Oxford, AL 36203 Phone: 731-394-4114 |