Individual
SHANNON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 BREWSTER BLVD, MEDICAL STAFF SERVICES, CAMP LEJEUNE, NC 28547-2538
(910) 450-4136
(910) 450-4558
Mailing address
100 BREWSTER BLVD, MEDICAL STAFF SERVICES, CAMP LEJEUNE, NC 28547-2538
(910) 450-4136
(910) 450-4558
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-005332
IL
Other
Enumeration date
08/31/2006
Last updated
07/14/2009
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