Provider Demographics
NPI:1093194615
Name:HUNTER, SHELLI JO (AGNP, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:SHELLI
Middle Name:JO
Last Name:HUNTER
Suffix:
Gender:F
Credentials:AGNP, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11070 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:ALICEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35442-4702
Mailing Address - Country:US
Mailing Address - Phone:205-373-5000
Mailing Address - Fax:
Practice Address - Street 1:11070 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:ALICEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35442-4702
Practice Address - Country:US
Practice Address - Phone:205-373-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN163428163W00000X
FLRN9407190163W00000X
AL1-083216163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse