| Doctor Name: | MRS. SHAWNNA WELLS |
| NPI Number: | 1174949010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | R895902 |
| Business Practice Address: | 750 Morphy Ave Fairhope, AL - 365321812 |
| Business Phone Number: | 2519901922 |
| Business Fax Number: | 2519901912 |
| Mailing Address: | Po Box 1276, FAIRHOPE |
| State: | AL |
| Postal Code: | 365331276 |
| Phone Number: | 2519901922 |
| Fax Number: | 2519901912 |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R895902 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |