Merritt, Shannon Elizabeth
Merritt, Shannon Elizabeth is an individual health care provider with primary practice located at 207 Green St , Warner Robins GA 31093-2727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Merritt, Shannon Elizabeth can be contacted via phone (478) 787-4266.Contact Information
Primary practice address
207 Green St
Warner Robins GA 31093-2727
Phone: (478) 787-4266
Fax: (478) 787-4199
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN155336 | Georgia |
Profile Details
NPI number | 1821221045 |
---|---|
LBN Legal business name | Merritt, Shannon Elizabeth |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2009 |
Last updated | May 28th, 2015 - about 9 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 | 1821221045 | NPPES |
Georgia | MEDICAID | 003122615B |
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