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EASTERN SHORE DEVELOPMENTAL CLINIC
NPI 1023455953
Nurse Practitioner in Daphne, AL

Active since June 02, 2013
26420 KENSINGTON PL STE A, DAPHNE, AL 36526(251) 625-0400 Get Directions Write a Review

NPPES record last updated: June 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Shore Developmental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SHORE DEVELOPMENTAL CLINIC (NPI 1023455953) is a healthcare organization registered as a nurse practitioner in Daphne, Alabama and active in the NPI registry since June 2013. The organization lists Warner Merrill Wiggins, Offical, as its authorized official.

NPPES Registry Identity

NPI1023455953
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameEASTERN SHORE DEVELOPMENTAL CLINIC
Location Address26420 KENSINGTON PL STE ADaphne, AL 36526-5123
Mailing Address26420 Kensington Pl Ste ADaphne, AL 36526-5123 · (251) 625-0400
Phone(251) 625-0400
Organization SubpartNo
Authorized OfficialWarner Merrill WigginsOffical · (251) 402-5589
Enumeration DateJune 2, 2013
✔ NPI 1023455953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1076812
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPediatricsTaxonomy 208000000X · License 00008950 (AL)
26420 KENSINGTON PL STE A, Daphne, AL 36526
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2307987

Eastern Shore Developmental Clinic, LLC · Daphne, AL
Expired · Jul 17, 2026
CLIA Number01D2307987
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2024
Certificate Expiration DateJuly 17, 2026
Laboratory DirectorMs. Julie B. Wiggins
Laboratory Phone(251) 625-2400
Laboratory LocationEastern Shore Developmental Clinic, LLC28150 N Main Street, Suite A, Daphne, AL 36526
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Shore Developmental Clinic's NPI number?

The NPI number for Eastern Shore Developmental Clinic is 1023455953. It was assigned to this organization in the NPPES registry on June 2, 2013.

Where is Eastern Shore Developmental Clinic located?

Eastern Shore Developmental Clinic is located at 26420 Kensington Pl Ste A, Daphne, AL 36526. The listed phone number is (251) 625-0400.

What is Eastern Shore Developmental Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Developmental Clinic was last updated on June 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.