person
Shannon Michele Gavin, MSN,RN,FNP-BC
Family Nurse Practitioner in Chesterton, Indiana
NPI 1801199070

Shannon Michele Gavin is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Shannon Michele Gavin practices in Chesterton, IN and has the professional credentials of MSN,RN,FNP-BC. The NPI Number for Shannon Michele Gavin is 1801199070 and holds a License No. 2010007825 (Indiana).

The current practice location address for Shannon Michele Gavin is 407 W Indiana Ave, Chesterton, IN and can be reached out via phone at 219-763-8112 and via fax at 219-764-5384.

Location: 407 W Indiana Ave, Chesterton, IN, 46368-9230
person
Provider Profile Details
NPI Number
1801199070
Provider Name
Shannon Michele Gavin
Credential
MSN,RN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
407 W Indiana Ave, Chesterton, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-764-5384
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201015570 05 IN
71003579A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
407 W Indiana Ave
City
State
Zip
46304-2350
Phone Number
219-763-8112
Fax Number
219-764-5384
person
Provider Business Mailing Address Details
Address
407 W Indiana Ave
City
State
Zip
46304-2350
Phone Number
219-763-8112
Fax Number
219-764-5384
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2010007825 (Indiana)
Definition
Definition to come...
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