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NPI Code Detail

MEDICARE: SHANNON A YARBROUGH N.P.

MEDICARE:   SHANNON A YARBROUGH  N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN132591GA
2363LF0000XFamily Nurse Practitioner1-096078AL

General Provider Information

NPI Number : 1295770220
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON A YARBROUGH N.P.
Provider Business Mailing Address
First Line : 6 EAGLES FAIR
Second Line :
City : GADSDEN
State : AL
Zip : 35905-8847
Country : US
Telephone Number : 256-557-2651
Fax Number :
Provider Business Practice Location Address
First Line : 1900 INTERNATIONAL PARK DR STE 250
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4217
Country : US
Telephone Number : 205-730-7980
Fax Number : 205-730-7980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/21/2025

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Directions to “ SHANNON A YARBROUGH N.P.” Practice Location

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