Individual
SHANNON LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 EAST MAIN ST MAIN SUITE D, STIGLER, OK 74462
(918) 438-5477
Mailing address
109 EAST MAIN ST MAIN SUITE D, STIGLER, OK 74462
(918) 438-5477
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
228197
OK
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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