Provider Demographics
NPI:1578231239
Name:JUNKIN, VICTORIA BENAY (CRNP)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:BENAY
Last Name:JUNKIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:BENAY
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 RICE MINE RD N STE 100
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3905
Mailing Address - Country:US
Mailing Address - Phone:205-349-4200
Mailing Address - Fax:
Practice Address - Street 1:100 RICE MINE RD N STE 100
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-3905
Practice Address - Country:US
Practice Address - Phone:205-349-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-111799363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily