Individual
KANDACE SHOULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
208 PIERSON AVE, CENTREVILLE, AL 35042-2918
(205) 926-4881
Mailing address
208 PIERSON AVE, CENTREVILLE, AL 35042-2918
(205) 926-4881
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-074326
AL
Other
Enumeration date
10/02/2006
Last updated
12/03/2020
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