person
Mrs. Shannan K. Dufault, NPN
Pediatric Nurse Practitioner in Mount Pleasant, South Carolina
NPI 1275641144

Shannan K. Dufault is a Pediatric Nurse Practitioner based in Charlotte, SC and is specialized in Pediatrics. Shannan K. Dufault practices in Mount Pleasant, SC and has the professional credentials of NPN. The NPI Number for Shannan K. Dufault is 1275641144 and holds a License No. 2139 (South Carolina).

The current practice location address for Shannan K. Dufault is 1952 Long Grove Dr Ste 202, Mount Pleasant, SC and can be reached out via phone at 843-971-2992 and via fax at 843-971-2998. You can also correspond with Shannan K. Dufault through the mailing address at PO BOX 751461, CHARLOTTE, NC - 28275-1461 (mailing address contact number: 843-792-6200).

Location: 1952 Long Grove Dr Ste 202, Mount Pleasant, SC, 28275-1461
person
Provider Profile Details
NPI Number
1275641144
Provider Name
Shannan K. Dufault
Credential
NPN
Provider Entity Type
Individual
Gender
Female
Address
1952 Long Grove Dr Ste 202, Mount Pleasant, SC, 28275-1461
Phone Number
843-971-2992
Fax Number
843-971-2998
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0832 05 SC
institution
Provider Business Practice Location Address Details
Address
1952 Long Grove Dr Ste 202
City
State
Zip
29464-7579
Phone Number
843-971-2992
Fax Number
843-971-2998
person
Provider Business Mailing Address Details
Address
1952 Long Grove Dr Ste 202
City
State
Zip
29464-7579
Phone Number
843-971-2992
Fax Number
843-971-2998
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2139 (South Carolina)
Definition
Definition to come...
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