Providence Healthcare Services Inc
NPI 1689934085ActiveOrganization· Nurse Practitioner· Mobile, AL
Nurse Practitioner in Mobile, Alabama, registered in NPPES in May 2012. The authorized official on file is Clark P. Christianson, President.
Overview
| NPI | 1689934085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2012 |
| Last updated in NPPES | May 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-071676 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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