Coulson, Shannon

Coulson, Shannon is an individual health care provider with primary practice located at 4106 Portsmouth Blvd # 303 , Portsmouth VA 23701-2968. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Coulson, Shannon can be contacted via phone (757) 393-1136.

Contact Information

Primary practice address
4106 Portsmouth Blvd # 303 Portsmouth VA 23701-2968
Phone: (757) 393-1136
Fax: (757) 698-2499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024175887 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024175887 Virginia

Profile Details

NPI number 1295237477
LBN Legal business name Coulson, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Dec 13th, 2021 - about 4 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.

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