JOHNNY R TICE FNP-C
NPI 1164825923
Nurse Practitioner in Tuscaloosa, AL

Active since October 07, 2014
115 HARPER COURT, TUSCALOOSA, AL 35401(205) 366-3010(205) 366-3012 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Johnny R Tice Fnp-c NPPES

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

JOHNNY R TICE FNP-C (NPI 1164825923) is an individual nurse practitioner in Tuscaloosa, Alabama, licensed in Alabama (1-123152) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1164825923
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHNNY R TICECredential: FNP-C
Location Address115 HARPER COURTTuscaloosa, AL 35401-1250
Mailing AddressPo Box 21231Tisca;ppsa, AL 35401 · (205) 366-3010 · Fax (205) 366-3012
Fax(205) 366-3012
Sole ProprietorNo
Enumeration DateOctober 7, 2014
Last NPPES UpdateNovember 22, 2023
NPI 1164825923 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
Licenses Licensed in AL · 1-123152 Licensed in NC · 271591
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5007244 (NC)
115 HARPER COURT, Tuscaloosa, AL 35401

Other Identifiers 1

Medicaid1164825923NC

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
115 HARPER COURT
TUSCALOOSA, AL 35401
Psychologist
115 HARPER COURT
TUSCALOOSA, AL 35401
Family Medicine
115 HARPER COURT
TUSCALOOSA, AL 35401
Psychiatry & Neurology (Psychiatry)
115 HARPER COURT
TUSCALOOSA, AL 35401
Family Medicine
115 HARPER COURT
TUSCALOOSA, AL 35401
Psychiatric Hospital
115 HARPER COURT
TUSCALOOSA, AL 35401
Family Medicine
115 HARPER COURT
TUSCALOOSA, AL 35401
Psychiatry & Neurology (Psychiatry)
115 HARPER COURT
TUSCALOOSA, AL 35401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164825923, enumerated as an "individual" on October 07, 2014.

The provider is located at 115 HARPER COURT TUSCALOOSA, AL 35401 and the phone number is (205) 366-3010.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.