Individual
MRS. SHANON RENEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
80 PARKER DR, MONROE, GA 30656-4747
(678) 381-2630
(678) 381-2627
Mailing address
80 PARKER DR, MONROE, GA 30656-1100
(783) 812-6306
(678) 381-2627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP169956
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP169956
GA
Other
Enumeration date
02/18/2009
Last updated
10/13/2025
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