Most Relevant Information
Provider Data
| NPI Number: | 1003415456 |
| Provider Name: | SHANNON MARIE HARRISON BSN, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1-135592 |
Most Important Dates
| Enumeration Date: | 10/17/2020 |
| Last Updated: | 10/17/2020 |
Provider Practice Location
619 19TH ST S
BIRMINGHAM
AL
352331900
Practice Location Phone/Fax
| Phone: | 2059346050 |
| Fax: |
Provider Mailing Location
619 19TH ST S
BIRMINGHAM
AL
352331900
Provider Mailing Phone/Fax
| Phone: | 2059346050 |
| Fax: |