Individual
DONGSHENG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-115419
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-115419
AL
Other
Enumeration date
03/27/2020
Last updated
10/13/2021
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