Individual
SHANNON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, APRN-CNP
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
220796
OK
Other
Enumeration date
06/10/2024
Last updated
04/19/2025
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