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

Traci M Stafford, CRNP

Individual provider Family Nurse Practitioner · NPI 1639700602

Traci M Stafford, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2019, 7 years ago. Practices with Fairview Clinic, PC, an 8-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2020
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

1118 Ross Clark Cir Ste 303
Dothan, AL 36301-3034
Phone: (334) 794-3192
Fax: (877) 553-0033
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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 1-122428 (AL)

Record details

NPI number1639700602
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fairview Clinic, P.C. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dothan