Individual
MS. SHANNON LEIGH DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
39 CANEFIELD DR, CARTERSVILLE, GA 30120-8725
(706) 669-2261
Mailing address
39 CANEFIELD DR, CARTERSVILLE, GA 30120-8725
(706) 669-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN269221
GA
183700000X
Pharmacy Technician
PHTC000556
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN269221
GA
Other
Enumeration date
08/27/2011
Last updated
01/28/2024
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