White, Shannon Craig

White, Shannon Craig is an individual health care provider with primary practice located at 318 Coffee Ave Ne , Russellville AL 35653-2331. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. White, Shannon Craig can be contacted via phone (256) 332-1629.

Contact Information

Primary practice address
318 Coffee Ave Ne Russellville AL 35653-2331
Fax: (256) 332-4178
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-124327 Alabama

Profile Details

NPI number 1225360316
LBN Legal business name White, Shannon Craig
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Sep 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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