person
Shannon Mayhew Waggoner, FNP-C
Family Nurse Practitioner in Statesville, North Carolina
NPI 1629653670

Shannon Mayhew Waggoner is a Family Nurse Practitioner based in Statesville, NC and is specialized in Family. Shannon Mayhew Waggoner practices in Statesville, NC and has the professional credentials of FNP-C. The NPI Number for Shannon Mayhew Waggoner is 1629653670 and holds a License No. 5014171 (North Carolina).

The current practice location address for Shannon Mayhew Waggoner is 702 Hartness Rd, Statesville, NC and can be reached out via phone at 704-871-9818 and via fax at 704-495-3626. You can also correspond with Shannon Mayhew Waggoner through the mailing address at PO BOX 1845, STATESVILLE, NC - 28687-1845 (mailing address contact number: 704-873-4277).

Location: 702 Hartness Rd, Statesville, NC, 28687-1845
person
Provider Profile Details
NPI Number
1629653670
Provider Name
Shannon Mayhew Waggoner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
702 Hartness Rd, Statesville, NC, 28687-1845
Phone Number
704-871-9818
Fax Number
704-495-3626
Provider Enumeration Date
03/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
702 Hartness Rd
City
State
Zip
28677-3425
Phone Number
704-871-9818
Fax Number
704-495-3626
person
Provider Business Mailing Address Details
Address
702 Hartness Rd
City
State
Zip
28677-3425
Phone Number
704-871-9818
Fax Number
704-495-3626
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5014171 (North Carolina)
Definition
Definition to come...
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