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Individual
SHANNON LEIGH WHITWELL
Active
Individual
SHANNON LEIGH WHITWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN159448
GA
363LP2300X
Primary Care Nurse Practitioner
F02191114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159448
RN
GA
01
—
F02191114
APRN
GA
Enumeration date
03/20/2019
Last updated
08/12/2019
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