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Individual
SHANNON LEIGH O'DONNELL
Active
Individual
SHANNON LEIGH O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011662
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100575130
—
KY
Enumeration date
02/20/2018
Last updated
10/27/2020
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