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Shannon Ballou, APRN,FNP-C
Family Nurse Practitioner in Lawton, Oklahoma
NPI 1255708012

Shannon Ballou is a Family Nurse Practitioner based in Lawton, OK and is specialized in Family. Shannon Ballou practices in Lawton, OK and has the professional credentials of APRN,FNP-C. The NPI Number for Shannon Ballou is 1255708012 and holds a License No. 106662 (Oklahoma).

The current practice location address for Shannon Ballou is 3811 W Gore Blvd Ste 6, Lawton, OK and can be reached out via phone at 580-250-6525.

Location: 3811 W Gore Blvd Ste 6, Lawton, OK, 73505-6328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255708012
Provider Name
Shannon Ballou
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3811 W Gore Blvd Ste 6, Lawton, OK, 73505-6328
Phone Number
580-250-6525
Fax Number
Provider Enumeration Date
08/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3811 W Gore Blvd Ste 6
City
Lawton
State
Oklahoma
Zip
73505-6328
Phone Number
580-250-6525
Fax Number
person
Provider Business Mailing Address Details
Address
3811 W Gore Blvd Ste 6
City
Lawton
State
Oklahoma
Zip
73505-6328
Phone Number
580-250-6525
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
106662 (Oklahoma)
Definition
Definition to come...
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