Individual
MRS. SHANNON TAYLOR LAVENDER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
12 KANAWHA TER, SAINT ALBANS, WV 25177-2750
(304) 201-1130
(304) 201-1134
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104481
WV
363LF0000X
Family Nurse Practitioner
Primary
104481
WV
Other
Enumeration date
09/20/2023
Last updated
03/31/2025
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