Individual
MRS. SHAWNNA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5510
(228) 809-5519
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-112080
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
R895902
MS
Other
Enumeration date
03/17/2014
Last updated
11/19/2020
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