# SHANON R JERNIGAN MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629884838
- **Authorized official:** DR. SHANON JERNIGAN MD (PHYSICIAN)
- **Authorized official phone:** (205) 335-2310

## Contact information

- **Practice address:** 10699 OLD HIGHWAY 280 STE B, CHELSEA, AL 35043-8220
- **Practice address phone:** (205) 335-2310
- **Practice address fax:** (205) 618-9544
- **Mailing address:** 3025 BELVEDERE LN, BIRMINGHAM, AL 35242-6635
- **Mailing address phone:** (205) 335-2310
- **Mailing address fax:** (205) 618-9544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 10/08/2026