# SHANNON BLANKENBECKLER

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

## Provider details

- **NPI number:** 1508257221
- **Gender:** F
- **Credential:** AGNP-C, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | BLAN-GIKLC9 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5007563 | NC | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 07/24/2022