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General NPI Number Information
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NPI Number | 1245851054
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Entity Type | Individual
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Provider Name | SHALENA MITCHELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2020
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 239 CHURCH ST STE A
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City | ALEXANDER CITY
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State | AL
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Zip | 35010-2517
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Country | US
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Telephone | 256-234-4443
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Fax | 256-234-3686
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Provider Business Mailing Address
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Address Line | PO BOX 2008
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City | ALEXANDER CITY
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State | AL
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Zip | 35011-2008
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Country | US
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Telephone | 256-234-4443
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Fax | 256-234-3686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F01200300
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License Number State | AL
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