Individual
SHANNEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14571 FIJI CT, STANFIELD, NC 28163-9308
(980) 372-4484
Mailing address
14571 FIJI CT, STANFIELD, NC 28163-9308
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5023189
NC
Other
Enumeration date
09/30/2025
Last updated
03/06/2026
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