Individual
SHANNON BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HIGHWAY 14, MILLBROOK, AL 36054-2243
(334) 310-6059
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-129381
AL
363LF0000X
Family Nurse Practitioner
Primary
1-129381
AL
Other
Enumeration date
09/05/2019
Last updated
01/31/2024
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