Provider Demographics
NPI:1467337667
Name:TUBBS, DEVON BROOKE (CRNP)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:BROOKE
Last Name:TUBBS
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 1:40 EASONVILLE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CROPWELL
Mailing Address - State:AL
Mailing Address - Zip Code:35054-3977
Mailing Address - Country:US
Mailing Address - Phone:256-405-6813
Mailing Address - Fax:
Practice Address - Street 1:41 EMINENCE WAY STE A
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2338
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-184707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily