Doctor Name: | MRS. ALICE SUSAN KEETON |
NPI Number: | 1356312680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1052368 |
Business Practice Address: | 1100 South Jackson Highway Suite 150 Sheffield, AL - 356605774 |
Business Phone Number: | 2563834447 |
Business Fax Number: | 2563817999 |
Mailing Address: | 1100 South Jackson Highway, Suite 150 SHEFFIELD |
State: | AL |
Postal Code: | 356605774 |
Phone Number: | 2563834447 |
Fax Number: | 2563817999 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1052368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |