Individual
SHANON REYNOLDS JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10699 OLD HIGHWAY 280 STE B, CHELSEA, AL 35043-8220
(205) 335-2310
Mailing address
3025 BELVEDERE LN, BIRMINGHAM, AL 35242-6635
(205) 335-2310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27306
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103337
—
AL
01
—
51549289
BCBS
AL
01
—
MD.27306
LICENSE
AL
Enumeration date
09/26/2006
Last updated
09/02/2025
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