| Miracle Lovelace, FNP | |
| 
					6 Medical Park N, Valley, AL 36854-3601  | |
| (334) 756-8043 | |
| (334) 756-8059 | 
| Full Name | Miracle Lovelace | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6 Medical Park N, Valley, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295572709 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3001882 (Alabama) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | RN276970 (Georgia) | Primary | 
| Entity Name | Alabama Post-acute Medical Service 1 Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073052403 PECOS PAC ID: 7416229406 Enrollment ID: O20170825002379  | 
| Entity Name | Nm Pacs 2 Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20191109000048  | 
| Entity Name | Cs Pacs 3 Southeast Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240731003767  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miracle Lovelace, FNP 6 Medical Park N, Valley, AL 36854-3601 Ph: (334) 756-8043  | Miracle Lovelace, FNP 6 Medical Park N, Valley, AL 36854-3601 Ph: (334) 756-8043  | 
Mrs. Carla A Etherton-moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Medical Park, Valley, AL 36854 Phone: 334-756-4860 Fax: 334-756-4866  | |
Leah Knight,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305  | |
Greta Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305  | |
Allison Strickland,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305  | |
Mrs. Leanne Knowles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Valley, AL 36854 Phone: 334-756-5150  | |
Valalena L Maddox,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Medical Park, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059  |