Individual
MORGAN JAYE MCCARDELL SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2121 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-4680
Mailing address
2283 W BASTIEN LOOP, COEUR D ALENE, ID 83815
(805) 377-2449
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
7361470
ID
363L00000X
Nurse Practitioner
7361470
ID
Other
Enumeration date
09/04/2024
Last updated
07/23/2025
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