Provider Demographics
NPI:1043740020
Name:SHAMBRAY, ADRIENNE NICOLE (CRNP)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:NICOLE
Last Name:SHAMBRAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:NICOLE
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7067 VETERANS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-5128
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:2048 MARTIN ST S
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2326
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:205-884-8111
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-140957207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine