Individual
SHANNON BRANTLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1833
(205) 368-9377
Mailing address
100 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1833
(205) 368-9377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1122796
AL
363LF0000X
Family Nurse Practitioner
Primary
1-122796
AL
Other
Enumeration date
03/06/2021
Last updated
08/31/2022
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