Provider Demographics
NPI:1144903618
Name:POSEY, MARANDA L (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARANDA
Middle Name:L
Last Name:POSEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARANDA
Other - Middle Name:
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1353 ANGEL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-5746
Mailing Address - Country:US
Mailing Address - Phone:256-368-8467
Mailing Address - Fax:
Practice Address - Street 1:1353 ANGEL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AL
Practice Address - Zip Code:36265-5746
Practice Address - Country:US
Practice Address - Phone:256-368-8467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-171127363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily