| Mrs Shirley Dianne Guillory, ARNP | |
| 
					475 State Highway 83, Defuniak Springs, FL 32433  | |
| (850) 892-8015 | |
| (850) 892-8457 | 
| Full Name | Mrs Shirley Dianne Guillory | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Women's Health Care, Ambulatory | 
| Location | 475 State Highway 83, Defuniak Springs, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992764005 | NPI | - | NPPES | 
| U6063Z | Other | FL | PROVIDER INS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | ARNP1182132 (Florida) | Primary | 
| Entity Name | Florida Department Of Health | 
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency | 
| Entity Identifiers | NPI Number: 1790746535 PECOS PAC ID: 3072424282 Enrollment ID: O20061222000176  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Shirley Dianne Guillory, ARNP Po Box 968, Defuniak Springs, FL 32435-0968 Ph: (850) 951-2036  | Mrs Shirley Dianne Guillory, ARNP 475 State Highway 83, Defuniak Springs, FL 32433 Ph: (850) 892-8015  | 
Heather R. Alford,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 W Orange Ave, Defuniak Springs, FL 32435 Phone: 334-701-7427  | |
Kayla Ann Jackson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 727 Hubbard St, Defuniak Springs, FL 32435 Phone: 205-747-5564  | |
Vicky E Dantzler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 324 Ralph Long Rd, Defuniak Springs, FL 32433 Phone: 850-533-6018  | |
Diane Campbell Little, ARNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3686 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-892-8045 Fax: 850-892-8039  | |
Wendi Machelle Holden, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 287 Bob Mccaskill Dr, Defuniak Springs, FL 32433 Phone: 850-401-4502  |