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Mrs. Amanda Gail Shannon, LPN
Licensed Practical Nurse in Mountain Home, Arkansas
NPI 1215171061

Amanda Gail Shannon is a Licensed Practical Nurse based in Batesville, AR. Amanda Gail Shannon practices in Mountain Home, AR and has the professional credentials of LPN. The NPI Number for Amanda Gail Shannon is 1215171061 and holds a License No. LPT-002955 (Arkansas).

The current practice location address for Amanda Gail Shannon is #8 Medical Plaza, Mountain Home, AR and can be reached out via phone at 870-425-6901 and via fax at 870-424-0903.

Location: #8 Medical Plaza, Mountain Home, AR, 72503-2578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215171061
Provider Name
Amanda Gail Shannon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
#8 Medical Plaza, Mountain Home, AR, 72503-2578
Phone Number
870-425-6901
Fax Number
870-424-0903
Provider Enumeration Date
04/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTP-002955 01 AR LPN
institution
Provider Business Practice Location Address Details
Address
#8 Medical Plaza
City
Mountain Home
State
Arkansas
Zip
72653
Phone Number
870-425-6901
Fax Number
870-424-0903
person
Provider Business Mailing Address Details
Address
#8 Medical Plaza
City
Mountain Home
State
Arkansas
Zip
72653
Phone Number
870-425-6901
Fax Number
870-424-0903
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPT-002955 (Arkansas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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