MR. Shannon Craig White, NURSE PRACTITIONER
NPI #1225360316 in Russellville, Alabama
Provider Information
- NPI Number
- 1225360316
- Entity Type
- Individual
- Name
- MR. Shannon Craig White, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Feb 1, 2010
- Last Updated
- Sep 28, 2011
Practice Location
- Address
- 318 COFFEE AVE NE
- City
- Russellville
- State
- Alabama
- ZIP Code
- 35653-2331
- Phone
- (256) 332-1629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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