person
Shannon Marie Scanlon, FNP
Family Nurse Practitioner in Grand Ledge, Michigan
NPI 1104545292

Shannon Marie Scanlon is a Family Nurse Practitioner based in Grand Ledge, MI and is specialized in Family. Shannon Marie Scanlon practices in Grand Ledge, MI and has the professional credentials of FNP. The NPI Number for Shannon Marie Scanlon is 1104545292 and holds a License No. 2022008174 (Michigan).

The current practice location address for Shannon Marie Scanlon is 701 Pleasant St, Grand Ledge, MI and can be reached out via phone at 254-258-2584.

Location: 701 Pleasant St, Grand Ledge, MI, 48837-1344
person
Provider Profile Details
NPI Number
1104545292
Provider Name
Shannon Marie Scanlon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
701 Pleasant St, Grand Ledge, MI, 48837-1344
Phone Number
254-258-2584
Fax Number
Provider Enumeration Date
08/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2022008174 01 MI FAMILY NURSE PRACTITIONER CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
701 Pleasant St
City
State
Zip
48837-1344
Phone Number
254-258-2584
Fax Number
person
Provider Business Mailing Address Details
Address
701 Pleasant St
City
State
Zip
48837-1344
Phone Number
254-258-2584
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2022008174 (Michigan)
Definition
Definition to come...
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