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Individual

DR. SHANNON DENISE BRACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
14100 HUNTGATE WOODS RD, MIDLOTHIAN, VA 23112-4355
(804) 332-0409
Mailing address
14100 HUNTGATE WOODS RD, MIDLOTHIAN, VA 23112-4355
(804) 332-0409

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024188941
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
0024188941
VA

Other

Enumeration date
12/08/2023
Last updated
12/08/2023
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