Fowler, Shannon Marie

Fowler, Shannon Marie is an individual health care provider with primary practice located at 1038 Research Blvd , Madison AL 35758-2069. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Fowler, Shannon Marie can be contacted via phone (205) 379-0174.

Contact Information

Primary practice address
1038 Research Blvd Madison AL 35758-2069
Phone: (205) 379-0174
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 113275 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 32107 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-113275 Alabama

Profile Details

NPI number 1134764608
LBN Legal business name Fowler, Shannon Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2019
Last updated Aug 16th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134764608 NPPES
Alabama MEDICAID 1134764608

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