White, Shannon

White, Shannon is an sole proprietor health care provider with primary practice located at 12455 E 100Th St N Ste 300 , Owasso OK 74055-4678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. White, Shannon can be contacted via phone (918) 274-9700.

Contact Information

Primary practice address
12455 E 100Th St N Ste 300 Owasso OK 74055-4678
Phone: (918) 274-9700
Fax: (918) 274-1395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 75091 Oklahoma

Profile Details

NPI number 1730607466
LBN Legal business name White, Shannon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2017
Last updated Sep 1st, 2017 - about 8 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 1730607466 NPPES
Oklahoma Other 75091 STATE LICENSE

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