Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Michelle Fryery, NP

Individual provider Family Nurse Practitioner · NPI 1407895725

Shannon Michelle Fryery, NP is a Nurse Practitioner in Oxford, Mississippi. Qualified in 2001, 25 years ago. Practices with West Alabama AIDS Outreach Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
25
Licensed in
MS
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2890 S Lamar Blvd
Oxford, MS 38655-5347
Phone: (662) 636-6062
Fax: (833) 974-0101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R853471 (MS)

Record details

NPI number1407895725
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice West Alabama Aids Outreach Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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