Provider Demographics
NPI:1447442645
Name:POUNCEY, SANDRA RENEE (CRNP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:RENEE
Last Name:POUNCEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 AIRPORT COMMONS DR STE 404
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-7004
Mailing Address - Country:US
Mailing Address - Phone:205-665-2002
Mailing Address - Fax:205-665-2008
Practice Address - Street 1:401 AIRPORT COMMONS DR STE 404
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-7004
Practice Address - Country:US
Practice Address - Phone:205-665-2002
Practice Address - Fax:205-665-2008
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-042624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily