Eastern Shore Developmental Clinic

Nurse Practitioner · Daphne, AL

Organization Active NPI

NPI number 1023455953

Practice location

26420 Kensington Pl Ste a
Daphne, AL 36526-5123
Phone
(251) 625-0400

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NPI record

NPI
1023455953
Entity type
Organization (Type 2)
Enumeration date
June 2, 2013
Last updated
June 2, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 1076812 AL
Pediatrics Physician 208000000X 00008950 AL

Authorized official

Name
Dr. Warner Merrill Wiggins, MD
Title
Offical
Phone
(251) 402-5589

About Eastern Shore Developmental Clinic

Eastern Shore Developmental Clinic is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 26420 Kensington Pl Ste a, Daphne, AL 36526-5123. The NPI number 1023455953 was assigned on June 2, 2013 and the record was last updated on June 2, 2013.

Eastern Shore Developmental Clinic lists 2 licenses in the registry: #1076812 (AL) for Nurse Practitioner; #00008950 (AL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Warner Merrill Wiggins, MD, Offical.

Frequently asked questions

What is the NPI number of Eastern Shore Developmental Clinic?

The NPI number is 1023455953.

What is the phone number of Eastern Shore Developmental Clinic?

The phone number listed for the practice location is (251) 625-0400.

Where is Eastern Shore Developmental Clinic located?

26420 Kensington Pl Ste a, Daphne, AL 36526-5123.

What is the taxonomy code for Eastern Shore Developmental Clinic?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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