Individual
MRS. SHANNON ASHE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN171136
GA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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