SHANUN JANIECE EVANS NPI 1205422540

NPI Information

  • NPI: 1205422540
  • Provider Name: SHANUN JANIECE EVANS
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 12051 MCCLINTOCK CT
    ALBANY, GA
    ZIP 31705
  • Phone: (216) 854-1011

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NPI Details

Shanun Janiece Evans is a prosthetics case management specialist in Albany, GA. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Shanun Janiece Evans NPI is 1205422540. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12051 MCCLINTOCK CT
ALBANY, GA
ZIP 31705-447
Phone: (216) 854-1011

The enumeration date for this NPI number is 12/20/2020 and was last updated on 1/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementC102408NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C102408OTHERNORTH CAROLINACOSMETOLOGY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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