Individual
SHAUNA MCCANN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386970325
—
NC
01
—
1795M
BCBS
NC
01
—
NCY403A
MEDICARE
NC
Enumeration date
10/27/2009
Last updated
07/18/2025
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