Individual
SHANNON ELIZABETH MONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 MIMOSA DR FL 3, THOMASVILLE, GA 31792-6676
(229) 226-8881
(229) 584-5964
Mailing address
7137 OX BOW CIR, TALLAHASSEE, FL 32312-3570
(850) 545-3291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP000539
GA
363LA2100X
Acute Care Nurse Practitioner
11000348
FL
Other
Enumeration date
12/17/2018
Last updated
07/08/2022
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