Individual
SHANNON WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2708 PAOLI PIKE STE I, NEW ALBANY, IN 47150-5100
(812) 725-7894
(812) 590-3168
Mailing address
1002 CATALPA DR, GEORGETOWN, IN 47122-8785
(812) 913-3818
(812) 590-3168
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
1111715
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
1111715
KY
Other
Enumeration date
07/09/2015
Last updated
05/29/2019
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