Individual
LACEY SHUTTLEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1302 17TH AVE S, BIRMINGHAM, AL 35205-6608
(941) 779-4847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-165062
AL
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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