Individual
SHANNON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
221 W LAKE LANSING RD STE 100, EAST LANSING, MI 48823-8661
(517) 798-1167
(833) 740-3674
Mailing address
221 W LAKE LANSING RD STE 100, EAST LANSING, MI 48823-8661
(517) 798-1167
(833) 740-3674
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704311473
MI
Other
Enumeration date
02/15/2023
Last updated
02/03/2026
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