Individual
SHANNON HILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2605 GAULT AVE N STE 200, FORT PAYNE, AL 35967-3700
(256) 997-2855
Mailing address
2605 GAULT AVE N STE 200, FORT PAYNE, AL 35967-3700
(256) 979-1550
(256) 979-1576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-092758
AL
Other
Enumeration date
03/22/2018
Last updated
02/18/2021
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