Individual
MRS. KIMBERLY SHEA GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1 HARRISON PLZ, FLORENCE, AL 35632-0002
(256) 765-4667
Mailing address
1 HARRISON PLZ, FLORENCE, AL 35632-0002
(256) 765-4667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30327
TN
363LA2100X
Acute Care Nurse Practitioner
30327
TN
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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