MEDICARE: SHONNA HORLEBEIN PMHNP, BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1-178632	AL

General Provider Information

NPI Number	:	1972261352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHONNA HORLEBEIN PMHNP, BC

Provider Business Mailing Address
First Line	:	2441 INTERNATIONAL PARK DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4252
Country	:	US
Telephone Number	:	251-680-0890
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 INTERNATIONAL PARK DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4252
Country	:	US
Telephone Number	:	205-813-7403
Fax Number	:	205-813-7405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	05/28/2026

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