Individual
SHANNON COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4901 COLLEY AVE, NORFOLK, VA 23508-2067
(757) 239-5858
(757) 231-6736
Mailing address
4901 COLLEY AVE, NORFOLK, VA 23508-2067
(757) 239-5858
(757) 231-6736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175887
VA
363LG0600X
Gerontology Nurse Practitioner
0024175887
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175887
VA
Other
Enumeration date
03/05/2018
Last updated
11/18/2025
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