Davis, Shannon Noelle Lawley

Davis, Shannon Noelle Lawley is an individual health care provider with primary practice located at 2451 Fillingim St , Mobile AL 36617-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Davis, Shannon Noelle Lawley can be contacted via phone (251) 471-7971.

Contact Information

Primary practice address
2451 Fillingim St Mobile AL 36617-2238
Phone: (251) 471-7971
Fax: (251) 471-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-100053 Alabama

Profile Details

NPI number 1669645784
LBN Legal business name Davis, Shannon Noelle Lawley
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated May 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669645784 NPPES
Alabama Other 51594120 BCBS - 2451 FILLINGIM
Alabama Other 51594124 BCBS - 2451 FILLINGIM
Alabama MEDICAID 05022892 BCBS - 2451 FILLINGIM

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