| James Davison Stallworth Jr, CRNP | |
|
21141 State Highway 59 Ste 1, Robertsdale, AL 36567-6751 | |
| (251) 424-1160 | |
| (251) 424-1161 |
| Full Name | James Davison Stallworth Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 21141 State Highway 59 Ste 1, Robertsdale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316622582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-098426 (Alabama) | Primary |
| Entity Name | Foley Clinic Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629027826 PECOS PAC ID: 5193741759 Enrollment ID: O20051021000930 |
| Mailing Address | Practice Location Address |
|---|---|
| James Davison Stallworth Jr, CRNP 21141 State Highway 59 Ste 1, Robertsdale, AL 36567-6751 Ph: () - | James Davison Stallworth Jr, CRNP 21141 State Highway 59 Ste 1, Robertsdale, AL 36567-6751 Ph: (251) 424-1160 |
Euveta Fran Whitlock, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23280 Gilbert Dr, Robertsdale, AL 36567 Phone: 251-947-1910 Fax: 251-947-5703 | |
David Hurley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21141 State Highway 59 Ste 1, Robertsdale, AL 36567 Phone: 251-424-1160 Fax: 251-424-1161 | |
Keri Rene Hullihen, AGACNP, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21431 Oak Ridge Dr, Robertsdale, AL 36567 Phone: 251-421-4345 | |
Stacey King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21141 State Highway 59 Ste 1, Robertsdale, AL 36567 Phone: 251-424-1160 Fax: 251-424-1161 | |
Samantha H Simmons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21141 State Highway 59 Ste 1, Robertsdale, AL 36567 Phone: 251-626-3782 Fax: 251-626-0782 | |
Tina Marie Syphrit, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23280 Gilbert Drive, Robertsdale, AL 36567 Phone: 251-947-1910 Fax: 251-947-5703 |