Individual
SHANNON DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3219 CLIFTON AVE STE 305, CINCINNATI, OH 45220-3047
(513) 346-1270
(513) 489-1526
Mailing address
2930 MARKBREIT AVE APT 1, CINCINNATI, OH 45209-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
442583
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032857
OH
Other
Enumeration date
08/08/2017
Last updated
02/01/2023
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