Shannon Nikkole Kemp
Nurse Practitioner, Acute Care in Helena, AL. Individual provider (NPI-1).
NPI number1497480396
StatusActive
Last updated in NPPESJul 24, 2022
Details
- NPI
- 1497480396
- Entity type
- Individual (NPI-1)
- Name
- Shannon Nikkole Kemp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2022
- Certification date
- Jul 24, 2022
- Last updated
- Jul 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 1-32286 | AL | Yes |
Practice location
2690 Hawthorne Lake RdHelena, AL 35022-7215
Phone 205-223-5242
Mailing address
2690 Hawthorne Lake RdHelena, AL 35022-7215
Phone 205-223-5242
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