Trouse, Shannon A

Trouse, Shannon A is an individual health care provider with primary practice located at 8160 Veterans Pkwy , Columbus GA 31909-1728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Trouse, Shannon A can be contacted via phone (706) 507-1000.

Contact Information

Primary practice address
8160 Veterans Pkwy Columbus GA 31909-1728
Fax: (706) 507-1006
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN135047 Georgia

Profile Details

NPI number 1578782041
LBN Legal business name Trouse, Shannon A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578782041 NPPES
Georgia MEDICAID 509122505A

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