Basic Information
| Provider Information | |||||||||
| NPI: | 1427550896 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PHILLIPS | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | MCCRAY | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1004 1ST ST N STE 270 | ||||||||
| Address2: | |||||||||
| City: | ALABASTER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350078798 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4698932065 | ||||||||
| FaxNumber: | 4698933065 | ||||||||
| Practice Location | |||||||||
| Address1: | 2018 BROOKWOOD MEDICAL CTR DR STE 215 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352096870 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058772627 | ||||||||
| FaxNumber: | 2058026590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2018 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 1-129607 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.