| Doctor Name: | MRS. MARY REBECCA EPPS |
| NPI Number: | 1366807711 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 1-136901 |
| Business Practice Address: | 1906 Glenn Blvd Sw Ste 100a Fort Payne, AL - 359683546 |
| Business Phone Number: | 2569975900 |
| Business Fax Number: | |
| Mailing Address: | 1359 Old Water Works Rd Sw, 1906 Glenn Blvd. Sw Ste 100 A FORT PAYNE |
| State: | AL |
| Postal Code: | 359683347 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2015 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1-136901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |