Individual
MRS. SHANNON BUMGARDNER STANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
920 COX RD STE 201, GASTONIA, NC 28054-3435
(704) 864-8302
(704) 864-0228
Mailing address
3158 FREEDOM DR STE 3102, CHARLOTTE, NC 28208-0014
(704) 719-7099
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010723
NC
Other
Enumeration date
07/24/2018
Last updated
04/29/2025
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