Shavonne Bridgette Doyle, NP
Nurse Practitioner, Gerontology in Oxford, MS. Individual provider (NPI-1).
NPI number1013596089
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1013596089
- Entity type
- Individual (NPI-1)
- Name
- Shavonne Bridgette Doyle
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2021
- Certification date
- Oct 18, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | R904555 | MS | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | R904555 | MS |
Practice location
2908 S Lamar Blvd Ste 100Oxford, MS 38655-5375
Phone 662-281-0112
Mailing address
2908 S Lamar Blvd Ste 100Oxford, MS 38655-5375
Phone 662-281-0112
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Other Gerontology Nurse Practitioner providers in Oxford, MS
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- Courtney Wilburn Pruitt, NPNPI 1407515570
- Kimberly Jo Redden, AGNPNPI 1811404775
- Leigh Van Devender, APRNNPI 1376198192
All 6 Gerontology Nurse Practitioner providers in Oxford · All 1,794 providers in Oxford
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