Individual
SHANAN IRENE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2400
Mailing address
11122 HIGHWAY 17, GILBERTOWN, AL 36908-2193
(601) 480-2758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10170525
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017030517
AL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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