Doyle, Shavonne Bridgette

Doyle, Shavonne Bridgette is an sole proprietor health care provider with primary practice located at 2908 S Lamar Blvd Ste 100 , Oxford MS 38655-5375. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Doyle, Shavonne Bridgette can be contacted via phone (662) 281-0112.

Contact Information

Primary practice address
2908 S Lamar Blvd Ste 100 Oxford MS 38655-5375
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 904555 Mississippi
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 904555 Tennessee
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 904555 Tennessee
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 904555 Mississippi

Profile Details

NPI number 1013596089
LBN Legal business name Doyle, Shavonne Bridgette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2021
Last updated Feb 3rd, 2022 - about 2 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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