Mitchell, Shannon Nicole

Mitchell, Shannon Nicole is an individual health care provider with primary practice located at 5400 Riverside Dr Ste 202 , Macon GA 31210-0818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Mitchell, Shannon Nicole can be contacted via phone (478) 787-0059.

Contact Information

Primary practice address
5400 Riverside Dr Ste 202 Macon GA 31210-0818
Fax: (855) 428-4597
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN271894 Georgia

Profile Details

NPI number 1942943667
LBN Legal business name Mitchell, Shannon Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Nov 15th, 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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