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MRS. SHAYNA SPEARMAN KIDD FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1629667613

Individual Registrant:
MRS. SHAYNA SPEARMAN KIDD FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
12935 HIGHWAY 231 431 N  HAZEL GREEN, AL 35750-8631 US
Tel: 256-828-6766  Fax: --

Contact information for business:
146 BOONSHILL RD  FAYETTEVILLE, TN 37334-6415 US
Tel: 256-655-4145  Fax: --

Registration Information:
NPI: 1629667613
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-126779

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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