Individual
SHANNON GAIL MILLSAPS
Active
Individual
SHANNON GAIL MILLSAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
158203
NC
363L00000X
Nurse Practitioner
5008025
NC
363LA2100X
Acute Care Nurse Practitioner
5008025
NC
363LA2200X
Adult Health Nurse Practitioner
0040335
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
33626
TN
363LA2200X
Adult Health Nurse Practitioner
4704439024
MI
363LA2200X
Adult Health Nurse Practitioner
5008025
NC
363LA2200X
Adult Health Nurse Practitioner
71017247A
IN
Other
Enumeration date
10/15/2015
Last updated
05/27/2026
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