Individual
SHANNON NOELLE LAWLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7971
(251) 471-7334
Mailing address
P O BOX 40480, MOBILE, AL 36617-2238
(251) 471-7971
(251) 471-7334
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-100053
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05022892
—
MS
01
—
51594120
BCBS - 2451 FILLINGIM
AL
01
—
51594124
BCBS - 575 STANTON RD
AL
Enumeration date
04/09/2008
Last updated
05/12/2015
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