| Tiffany Wilburn, CRNP | |
| 12935 Highway 231 431 N, Hazel Green, AL 35750-8631 | |
| (256) 828-6766 | |
| (866) 782-9553 | 
| Full Name | Tiffany Wilburn | 
|---|---|
| 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 | 
|---|---|---|---|
| 1346946373 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3001177 (Alabama) | Primary | 
| Entity Name | Laura Lee Taylor M.d.,llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104052059 PECOS PAC ID: 3971657818 Enrollment ID: O20090812000440 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Wilburn, CRNP 220 Mitchell Rd, Pulaski, TN 38478-8011 Ph: (931) 309-5086 | Tiffany Wilburn, 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 | |
| Mary C Kimbrell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12935 Highway 231 431 N, Hazel Green, AL 35750 Phone: 256-828-6766 | |
| 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 |