Individual
KONICA SHANNON MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1769 MOSS ROSE DR, BESSEMER, AL 35022-8340
(205) 310-2600
(205) 236-1724
Mailing address
1769 MOSS ROSE DR, BESSEMER, AL 35022-8340
(205) 310-2600
(205) 236-1724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-093551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299342
—
AL
01
—
512-90226
BCBS-AL
AL
Enumeration date
08/08/2022
Last updated
11/29/2023
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