Individual
SHANNON M ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
484 GOLDEN AUTUMN WAY STE 201, BOWLING GREEN, KY 42103-6913
(270) 781-5111
(270) 780-0475
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004280
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3004280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100019360
—
KY
Enumeration date
11/08/2006
Last updated
06/01/2021
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