Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Clark Fanning, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699568444

Matthew Clark Fanning, PMHNP-BC is a Nurse Practitioner in Tuscaloosa, Alabama. Graduated from University of Alabama School of Medicine in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Alabama.

Years since qualifying
1
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1401 Greensboro Ave
Tuscaloosa, AL 35401-2842
Phone: (205) 391-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1-105627 (AL)

Record details

NPI number1699568444
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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