Individual
SHANNON KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1120 E MAIN ST, SUITE 1, PHILADELPHIA, MS 39350-2300
(601) 656-1465
(601) 656-2752
Mailing address
1120 E MAIN ST, SUITE 1, PHILADELPHIA, MS 39350-2300
(601) 656-1465
(601) 656-2752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901576
MS
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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