Cook, Shannon Renee
Cook, Shannon Renee is an individual health care provider with primary practice located at 245 Medical Park Dr Suite C, Marion VA 24354-1100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Shannon Renee can be contacted via phone (276) 378-3300.Contact Information
Primary practice address
245 Medical Park Dr Suite C
Marion VA 24354-1100
Phone: (276) 378-3300
Fax: (276) 378-1265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024169951 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19716 | Tennessee |
Profile Details
| NPI number | 1316212673 |
|---|---|
| LBN Legal business name | Cook, Shannon Renee |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2012 |
| Last updated | Jan 30th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316212673 | NPPES |
| Virginia | MEDICAID | 1316212673 | |
| Virginia | MEDICAID | Q010323 |
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