person
Shannon Fullen-roberts
Family Nurse Practitioner in Abingdon, Virginia
NPI 1245645118

Shannon Fullen-roberts is a Family Nurse Practitioner based in Johnson City, VA and is specialized in Family. Shannon Fullen-roberts practices in Abingdon, VA. The NPI Number for Shannon Fullen-roberts is 1245645118 and holds a License No. 25249 (Virginia).

The current practice location address for Shannon Fullen-roberts is 16000 Johnston Memorial Dr, Abingdon, VA and can be reached out via phone at 276-258-3740 and via fax at 276-258-3745.

Location: 16000 Johnston Memorial Dr, Abingdon, VA, 37604-2192
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Provider Profile Details
NPI Number
1245645118
Provider Name
Shannon Fullen-roberts
Credential
Provider Entity Type
Individual
Gender
Female
Address
16000 Johnston Memorial Dr, Abingdon, VA, 37604-2192
Phone Number
276-258-3740
Fax Number
276-258-3745
Provider Enumeration Date
06/30/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01696407 01 VA RAILROAD MEDICARE
Q024051 05 TN
1245645118 05 VA
institution
Provider Business Practice Location Address Details
Address
16000 Johnston Memorial Dr
City
State
Zip
24211-7664
Phone Number
276-258-3740
Fax Number
276-258-3745
person
Provider Business Mailing Address Details
Address
16000 Johnston Memorial Dr
City
State
Zip
24211-7664
Phone Number
276-258-3740
Fax Number
276-258-3745
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
25249 (Tennessee)
Definition
Definition to come...
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