Hamilton, Shannon Marie

Hamilton, Shannon Marie is an individual health care provider with primary practice located at 312 S 4Th St Ste 700 , Louisville KY 40202-3046. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hamilton, Shannon Marie can be contacted via phone (502) 804-5495.

Contact Information

Primary practice address
312 S 4Th St Ste 700 Louisville KY 40202-3046
Phone: (502) 804-5495
Fax: (833) 563-1715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN3259502 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3259502 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X ARNP3259502 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33071 Tennessee

Profile Details

NPI number 1104282623
LBN Legal business name Hamilton, Shannon Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2016
Last updated Oct 11th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104282623 NPPES
Florida MEDICAID 102975500

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