Individual
SHANNON SUMMER PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6171 CHILDERS RD, BARBOURSVILLE, WV 25504-1227
(304) 733-5380
Mailing address
143 PRIVATE DRIVE 11202 UNIT 3, CHESAPEAKE, OH 45619-7014
(304) 617-7999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018645
KY
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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