person
Mrs. Shannon Taylor Wilson, MSN
Psychiatric/Mental Health Registered Nurse in West Columbia, South Carolina
NPI 1205921764

Shannon Taylor Wilson is a Psychiatric/Mental Health Registered Nurse based in West Columbia, SC and is specialized in Psychiatric/Mental Health. Shannon Taylor Wilson practices in West Columbia, SC and has the professional credentials of MSN. The NPI Number for Shannon Taylor Wilson is 1205921764 and holds a License No. R89467 (South Carolina).

The current practice location address for Shannon Taylor Wilson is 160 Medical Circle, West Columbia, SC and can be reached out via phone at 803-796-6811 and via fax at 803-796-6851. You can also correspond with Shannon Taylor Wilson through the mailing address at 160 MEDICAL CIRCLE, WEST COLUMBIA, SC - 29169-3656 (mailing address contact number: 803-796-6811).

Location: 160 Medical Circle, West Columbia, SC, 29169-3656
person
Provider Profile Details
NPI Number
1205921764
Provider Name
Shannon Taylor Wilson
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
160 Medical Circle, West Columbia, SC, 29169-3656
Phone Number
803-796-6811
Fax Number
803-796-6851
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00038218 01 SC RR MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
160 Medical Circle
City
State
Zip
29169-3656
Phone Number
803-796-6811
Fax Number
803-796-6851
person
Provider Business Mailing Address Details
Address
160 Medical Circle
City
State
Zip
29169-3656
Phone Number
803-796-6811
Fax Number
803-796-6851
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R89467 (South Carolina)
Definition
Definition to come...
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