Individual
SHANNON MICHELLE FRYERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2890 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 636-6062
(833) 974-0101
Mailing address
2890 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 636-6062
(833) 974-0101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853471
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04338295
—
MS
Enumeration date
06/05/2006
Last updated
06/11/2025
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