Keeshia    Cloud    CRNP
Contract Details
CarePlus Family Medical
Facility name
Provider ID
P000000001
NPI
1205254588
Tax ID
472273608
Effective Date
4/18/2023
Last Updated
4/18/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
11100 S Memorial Parkway
Huntsville, AL 35803
United States
Phone
256-650-4665 (Phone)
Billing Details
Address
11100 S Memorial Parkway
Huntsville, AL 35803
Billing Phone
256-650-4665
Specialty Type
Nurse Practitioner
Map
Address