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Ms. Shannon Marie Douglass, LPN
Licensed Practical Nurse in Cambridge, Massachusetts
NPI 1538568605

Shannon Marie Douglass is a Licensed Practical Nurse based in Malden, MA. Shannon Marie Douglass practices in Cambridge, MA and has the professional credentials of LPN. The NPI Number for Shannon Marie Douglass is 1538568605 and holds a License No. LN90257 (Massachusetts).

The current practice location address for Shannon Marie Douglass is 1493 Cambridge St, Cambridge, MA and can be reached out via phone at 617-665-1000.

Location: 1493 Cambridge St, Cambridge, MA, 02148-6524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538568605
Provider Name
Shannon Marie Douglass
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1493 Cambridge St, Cambridge, MA, 02148-6524
Phone Number
617-665-1000
Fax Number
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1047
Phone Number
617-665-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1493 Cambridge St
City
Cambridge
State
Massachusetts
Zip
02139-1047
Phone Number
617-665-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN90257 (Massachusetts)
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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