Doctor Name: | SHEENA R. CHAMPION |
NPI Number: | 1013160118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-109543 |
Business Practice Address: | 319 Mcwilliams Ave Camden, AL - 367261610 |
Business Phone Number: | 3346824224 |
Business Fax Number: | |
Mailing Address: | 5230 Sterling Glen Dr, PINSON |
State: | AL |
Postal Code: | 351267613 |
Phone Number: | 3343571574 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2008 |
NPI Last Update Date: | 10/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1-109543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |