Individual
SHANNON MARIE DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
211 S JONES RD, OLANTA, SC 29114-9705
(843) 396-9730
(843) 396-9735
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24421
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7344
—
SC
Enumeration date
10/07/2020
Last updated
06/06/2024
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