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Shannon Gresham
Licensed Practical Nurse in Green Bay, Wisconsin
NPI 1306569249

Shannon Gresham is a Licensed Practical Nurse based in Green Bay, WI. Shannon Gresham practices in Green Bay, WI. The NPI Number for Shannon Gresham is 1306569249 and holds a License No. 320921-31 (Wisconsin).

The current practice location address for Shannon Gresham is 2357 W Mason St, Green Bay, WI and can be reached out via phone at 192-026-5570.

Location: 2357 W Mason St, Green Bay, WI, 54303-4708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306569249
Provider Name
Shannon Gresham
Credential
Provider Entity Type
Individual
Gender
Female
Address
2357 W Mason St, Green Bay, WI, 54303-4708
Phone Number
192-026-5570
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2357 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4708
Phone Number
192-026-5570
Fax Number
person
Provider Business Mailing Address Details
Address
2357 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4708
Phone Number
192-026-5570
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
320921-31 (Wisconsin)
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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