Terena Stidham

Organization Active NPI Skilled Nursing Facility · Vernon, AL

NPI 1003204959 · NPPES record last updated Jun 22, 2015

Key facts

NPI
1003204959
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
TERENA STIDHAM
Practice address
1050 Convalescent Rd
Vernon, AL 35592-4823
Phone
(205) 570-8222
NPI assigned
Dec 30, 2014
Organization subpart
No

Authorized official

Name
Mrs. Terena S Stidham, FNP-BC
Title
Nurse Practitioner
Phone
(205) 570-8222

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

1050 Convalescent Rd
Vernon, AL 35592-4823

Mailing address

2075 County Highway 122
Hamilton, AL 35570-8414
Phone (205) 570-8222

Other providers in Vernon, AL

All providers in Vernon, AL · Skilled Nursing Facility in Alabama

Sources for this page

Verify at the official NPI Registry.