Individual
SHANNON PAIGE WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 WILMORE DR, CHARLOTTE, NC 28203-4340
(704) 222-4741
Mailing address
1601 WILMORE DR, CHARLOTTE, NC 28203-4340
(704) 222-4741
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
240767
NC
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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