Individual
SHEENA BUCKELEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
45 MEDICAL ARTS COURT, SUITE 2, GREENVILLE, AL 36037-3872
(334) 382-1632
(334) 382-1634
Mailing address
45 MEDICAL ARTS COURT, SUITE 2, GREENVILLE, AL 36037-3872
(334) 382-1632
(334) 382-1634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-117371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871003533
GROUP NPI
AL
01
—
511-28407
BCBS
AL
05
—
529906610 GROUP
—
AL
Enumeration date
05/31/2012
Last updated
10/19/2017
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