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

Stacy Lynn Davidson, CRNP

Individual provider Family Nurse Practitioner · NPI 1710245444

Stacy Lynn Davidson, CRNP is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2011, 15 years ago. Practices with Aqua Dermatology of Alabama PC, a 42-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
15
Licensed in
AL
In the registry since
2012
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

7300 Halcyon Summit Dr
Montgomery, AL 36117-3699
Phone: (205) 977-9876
Fax: (205) 977-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-085135 (AL)

Record details

NPI number1710245444
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 1, 2012
Last updated in NPPESFebruary 25, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Aqua Dermatology Of Alabama Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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