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MRS. SHANNON NICOLE GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
400 N 9TH ST FL 3, SPRINGFIELD, IL 62702-5310
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209021868
IL

Other

Enumeration date
06/25/2021
Last updated
09/28/2021
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