Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nichole Johnson Prestwood, CRNP

Individual provider Family Nurse Practitioner · NPI 1225522709

Mrs. Nichole Johnson Prestwood, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2018, 8 years ago. Practices with Southeastern Dermatology Group PA, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Licensed in
AL
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

106 Westside Dr
Dothan, AL 36303-1908
Phone: (877) 231-3376
Fax: (850) 522-8354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 102 Jackson St Ste A&B, Enterprise, AL 36330-3175 — (850) 233-3376
  • 989 Elba Hwy, Troy, AL 36079-6050 — (850) 233-3376

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-141456 (AL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-141456 (AL)

Record details

NPI number1225522709
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southeastern Dermatology Group Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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