# SHANNON BAKER HUMMEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043959372
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN139359 | GA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10024106 | OR | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN-NP139359 | GA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN139359 | GA | — |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 04/03/2026