Individual provider · Type 1 NPI
Alice Shackelford, FNP-C
Family Nurse Practitioner · Jackson, MS
NPI number
1316653397
Active
Practice location
971 Lakeland Dr Ste 950
Jackson, MS 39216-4608
Fax (601) 362-6111
Mailing address
PO Box 296
Benton, MS 39039-0296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 905551 (MS) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Catherine Lindsay Page, FNPFamily Nurse Practitioner Jackson, MS NPI 1538699483
- David John Gandy, MDOrthopaedic Surgery Physician Jackson, MS NPI 1841411790
- Jennifer Loren Atkinson, FNP-BCNurse Practitioner Jackson, MS NPI 1932877925
- Maricyl TerryRegistered Nurse First Assistant Jackson, MS NPI 1164834362
Other family nurse practitioner providers in Jackson
- Christian R. Fortenberry, FNPFamily Nurse Practitioner Jackson, MS NPI 1003415266
- Caryl P. Sumrall, FNPFamily Nurse Practitioner Jackson, MS NPI 1003840646
- Katrice Pacley Andrews, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013451780
- Ericia Latrice Cannon, NURSE PRACTITONERFamily Nurse Practitioner Jackson, MS NPI 1013473891
- Donna Carol Ricotta, NPFamily Nurse Practitioner Jackson, MS NPI 1013614064
- Jequetta Shureka Ilion McLaurin, FNPFamily Nurse Practitioner Jackson, MS NPI 1013698513
- Jocelyn Patrice Seawood, FNP-CFamily Nurse Practitioner Jackson, MS NPI 1013699057
- Tatonja Rashetta Jones, NPFamily Nurse Practitioner Jackson, MS NPI 1013989953
About NPI 1316653397
Alice Shackelford, FNP-C's National Provider Identifier is 1316653397, issued on Jan 24, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jan 24, 2023.