Provider Demographics
NPI:1861828915
Name:KNIGHT, SHELBY MCKEE (CRNP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:MCKEE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 2ND ST NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:636 2ND ST NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8817
Practice Address - Country:US
Practice Address - Phone:205-663-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1083325363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner