Shannon, Sarah Elizabeth Ruth

Shannon, Sarah Elizabeth Ruth is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shannon, Sarah Elizabeth Ruth can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP001152 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209016484 Illinois

Profile Details

NPI number 1902349863
LBN Legal business name Shannon, Sarah Elizabeth Ruth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Nov 13th, 2019 - about 6 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

Popular Providers