Individual
SHANNON M BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
818 W KING ST STE 201, OWOSSO, MI 48867-2117
(989) 723-3168
(989) 725-2962
Mailing address
818 W KING ST STE 201, OWOSSO, MI 48867-2117
(989) 723-3168
(989) 725-2962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704270214
MI
Other
Enumeration date
04/03/2019
Last updated
03/29/2024
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