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Shannon Grose, NP
Family Nurse Practitioner in Charleston, West Virginia
NPI 1629552799

Shannon Grose is a Family Nurse Practitioner based in Charleston, WV and is specialized in Family. Shannon Grose practices in Charleston, WV and has the professional credentials of NP. The NPI Number for Shannon Grose is 1629552799 and holds a License No. CNP181231 (West Virginia).

The current practice location address for Shannon Grose is 4602 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-205-7535 and via fax at 304-205-7549.

Location: 4602 Maccorkle Ave Se, Charleston, WV, 25304-2952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629552799
Provider Name
Shannon Grose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4602 Maccorkle Ave Se, Charleston, WV, 25304-2952
Phone Number
304-205-7535
Fax Number
304-205-7549
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4602 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1848
Phone Number
304-205-7535
Fax Number
304-205-7549
person
Provider Business Mailing Address Details
Address
4602 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1848
Phone Number
304-205-7535
Fax Number
304-205-7549
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
114025 (West Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CNP181231 (Maine)
Definition
Definition to come...
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