Individual provider · Type 1 NPI

Ryan Shannon, NP

Gerontology Nurse Practitioner · Birmingham, AL

NPI number 1194322271 Active

Practice location

3686 Grandview Pkwy Ste 720
Birmingham, AL 35243-3408

Fax (844) 772-0468

Mailing address

4200 Colonnade Pkwy
Birmingham, AL 35243-2342

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X1-159336 (AL)
Gerontology Nurse Practitioner Primary 363LG0600X1-159336 (AL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1194322271

Ryan Shannon, NP's National Provider Identifier is 1194322271, issued on Oct 2, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Birmingham, AL. The record was last updated on Sep 3, 2026.