| Mary C Kimbrell, CRNP | |
| 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | |
| (256) 828-6766 | |
| Not Available | 
| Full Name | Mary C Kimbrell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 12935 Highway 231 431 N, Hazel Green, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245511138 | NPI | - | NPPES | 
| 1-114767 | Other | ALABAMA BOARD OF NURSING LICENSE | |
| 2010013963 | Other | AMERICAN NURSES CREDITIALING ENTER FOR FNP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-114767 (Alabama) | Primary | 
| Entity Name | Emergency Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 | 
| Entity Name | Orthosports1st Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730701673 PECOS PAC ID: 8729402037 Enrollment ID: O20200720003475 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary C Kimbrell, CRNP 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 Ph: (256) 828-9440 | Mary C Kimbrell, CRNP 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 Ph: (256) 828-6766 | 
| Gregory Matthew Headley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 931-626-6428 | |
| Tiffany Wilburn, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 Fax: 866-782-9553 | |
| Mrs. Bonnie Jane Peterson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 Fax: 256-261-7877 | |
| Mrs. Shayna Spearman Kidd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 | |
| Mrs. Brandi Rene Harbin, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13596 Highway 231 431 N Ste 4, Hazel Green, AL 35750 Phone: 256-428-4990 Fax: 256-428-4991 |