Individual
SHANNON MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, FNP
Contact information
Practice address
4550 MEMORIAL DR STE 280, BELLEVILLE, IL 62226-5372
(618) 767-3235
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2314
(618) 767-3235
(618) 624-4992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2017001325
MO
363L00000X
Nurse Practitioner
Primary
209015851
IL
363LF0000X
Family Nurse Practitioner
209015851
IL
Other
Enumeration date
10/25/2017
Last updated
09/19/2025
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