Individual
MRS. SHANNON MARIE MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
325 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204-2536
(704) 316-7760
(704) 316-7761
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007792
NC
363LF0000X
Family Nurse Practitioner
239984
NC
Other
Enumeration date
07/14/2015
Last updated
02/21/2024
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