Nixon, Shannon

Nixon, Shannon is an individual health care provider with primary practice located at 502 Governors Dr Sw , Huntsville AL 35801-5126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Nixon, Shannon can be contacted via phone (256) 533-0833.

Contact Information

Primary practice address
502 Governors Dr Sw Huntsville AL 35801-5126
Fax: (256) 533-0855
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-083445 Alabama

Profile Details

NPI number 1720260276
LBN Legal business name Nixon, Shannon
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Feb 4th, 2013 - about 11 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 1720260276 NPPES
Alabama Other 051500675 BCBS

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