Individual
SHEKELA JOINER MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
1700 6TH AVE SOUTH, WIC 7TH FLOOR - HOSU, BIRMINGHAM, AL 35294
(205) 934-9787
(205) 934-0655
Mailing address
1484 STONEYKIRK RD, PELHAM, AL 35124-6217
(205) 934-9787
(205) 934-0655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-113721
AL
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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