Individual
SHANNON JEAN SOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(240) 877-9865
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(240) 877-9865
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19000
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19000
SC
Other
Enumeration date
08/06/2014
Last updated
08/31/2023
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