Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Wilburn Long III, PMHNP-BC

Individual provider Registered Nurse · NPI 1912599309

Mr. Charles Wilburn Long III, PMHNP-BC is a Registered Nurse in Birmingham, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2021
Specialties on file
2
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

2501 International Park Dr
Birmingham, AL 35243-4253
Phone: (205) 813-7400
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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 1-141931 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-141931 (AL)

Record details

NPI number1912599309
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 7, 2021
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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