Individual
MRS. SHANNON R HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3361 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7826
(843) 497-5929
(866) 778-9612
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 690504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136604
—
SC
Enumeration date
02/24/2006
Last updated
01/16/2025
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