Individual
SHANNON SEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BA, RN, AGCNS-B
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 672-8463
Mailing address
12874 THAMES DR, FISHERS, IN 46037-7403
(317) 672-8463
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
28256625A
IN
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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