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Individual
MRS. SHANON RENEE PHILLIPS
Active
Individual
MRS. SHANON RENEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP169956
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP169956
GA
Other
Enumeration date
02/18/2009
Last updated
10/13/2025
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