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

Stephanie Jemese Blaylock

Individual provider Family Nurse Practitioner · NPI 1811630643

Stephanie Jemese Blaylock is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2011, 15 years ago. Practices with Diabetes Management Partners LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
15
Licensed in
AL
In the registry since
2022
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Practice location Address checks out

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone: (904) 372-3943
Fax: (904) 212-1618
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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 1-123442 (AL)

Record details

NPI number1811630643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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 Diabetes Management Partners Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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