| Ms Marilyn Stanford, FNP-BC | |
| 
					5009 Riverchase Drive, Suite 500, Phenix Medical Ministries, Phenix City, AL 36867  | |
| (334) 448-9505 | |
| (334) 448-9575 | 
| Full Name | Ms Marilyn Stanford | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5009 Riverchase Drive, Suite 500, Phenix City, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538567235 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-112346 (Alabama) | Primary | 
| Entity Name | Hardy Renew Wellness,llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534  | 
| Entity Name | Provider Partners Care Management Lp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250124000857  | 
| Entity Name | Georgia Mso Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Marilyn Stanford, FNP-BC 5009 Riverchase Drive, Suite 500, Phenix Medical Ministries, Phenix City, AL 36867 Ph: (334) 448-9505  | Ms Marilyn Stanford, FNP-BC 5009 Riverchase Drive, Suite 500, Phenix Medical Ministries, Phenix City, AL 36867 Ph: (334) 448-9505  | 
Janice Mcinnis, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Crawford Rd, Phenix City, AL 36867 Phone: 334-297-0251 Fax: 334-291-5478  | |
Alicia Lynn Morris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 678 Lee Road 450, Phenix City, AL 36870 Phone: 706-332-2725  | |
Miss Juanita Jones-harris, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575  | |
Melissa Bailey, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Kittrell Dr, Phenix City, AL 36870 Phone: 706-536-0072  | |
Mrs. Angela J White, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575  | |
Mrs. Jamie Danielle Oubre, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5009 Riverchase Dr Ste 500, Phenix City, AL 36867 Phone: 334-448-9505  | |
Courtney Sharpe,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5295 Riverchase Dr Apt 1511, Phenix City, AL 36867 Phone: 706-442-3750  |