Provider Demographics
NPI:1982892196
Name:MOBLEY, ALLYSON E (CRNP)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:E
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530604
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35253-0604
Mailing Address - Country:US
Mailing Address - Phone:205-723-0088
Mailing Address - Fax:205-879-8259
Practice Address - Street 1:800 SAINT VINCENTS DR STE 710
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1633
Practice Address - Country:US
Practice Address - Phone:205-723-0088
Practice Address - Fax:205-879-8259
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-079185363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner