Individual
SHANNON PENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 876-8290
(740) 529-1205
Mailing address
2716 SCIOTO TRL, PORTSMOUTH, OH 45662-2500
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.554893
OH
175T00000X
Peer Specialist
APS.006524
OH
Other
Enumeration date
08/15/2025
Last updated
04/20/2026
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