Individual
MRS. SHANNON BRITTANY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
1900 W 4TH ST, MOUNT VERNON, IN 47620
(812) 838-4891
Mailing address
1900 W 4TH ST, MOUNT VERNON, IN 47620-9407
(812) 838-4891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28185896A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71008167A
IN
Other
Enumeration date
06/07/2018
Last updated
07/26/2018
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