Individual
SHANNON H COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28177713A
IN
163W00000X
Registered Nurse
85341
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
20462
SC
363LW0102X
Women's Health Nurse Practitioner
71005693A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201316620
—
IN
05
—
NP4194
—
SC
Enumeration date
01/12/2015
Last updated
06/28/2021
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