Large, Shauna M

Large, Shauna M is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Suite 304, Abingdon VA 24211-7664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Large, Shauna M can be contacted via phone (276) 258-3600.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Suite 304 Abingdon VA 24211-7664
Phone: (276) 258-3600
Fax: (276) 258-3605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165989 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8397 Tennessee

Profile Details

NPI number 1306861778
LBN Legal business name Large, Shauna M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306861778 NPPES
Tennessee Other 4319883 BCBS TENNESSEE
Tennessee MEDICAID 1306861778 BCBS TENNESSEE
Tennessee MEDICAID 1526528 BCBS TENNESSEE

Popular Providers