Individual
SHANNON NICKOLE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
405 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 425-7243
Mailing address
405 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 425-7243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171128
VA
363LF0000X
Family Nurse Practitioner
Primary
APRN59871-NP-C
WV
Other
Enumeration date
11/21/2013
Last updated
03/13/2017
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