Brenda Sue Pittman-Hooks, CRNP

Individual provider Active NPI Family Nurse Practitioner · Union Springs, AL

NPI 1295026573 · NPPES record last updated Feb 17, 2012

Key facts

NPI
1295026573
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1056109 (AL)
Practice address
299 Prairie St N
Union Springs, AL 36089-1618
Phone
(334) 738-7337
Fax
(334) 738-7339
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1056109ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emedical Group Inc Past Accepting new patients
Emedical Group Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1056109 AL Yes

Addresses

Primary practice location

299 Prairie St N
Union Springs, AL 36089-1618

Mailing address

PO Box 312
Union Springs, AL 36089-0312
Phone (334) 740-5252

Other providers in Union Springs, AL

All providers in Union Springs, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.