SHANNON THOR POLLARD ARNP NPI 1548765993

NPI Information

NPI: 1548765993
Provider Name: SHANNON THOR POLLARD, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
925 N STONE ST
DELAND, FL
ZIP 32720
Phone: (386) 734-6007
Get Directions

Shannon Thor Pollard, ARNP is a gerontology nurse practitioner in Deland, FL with 7 years of experience. Shannon Thor Pollard, ARNP NPI is 1548765993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 N STONE ST
DELAND, FL
ZIP 32720-521
Phone: (386) 734-6007
Fax: (386) 734-6008

The NPI 1548765993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 5/8/2019.

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
1	363LG0600X	Nurse Practitioner	Gerontology	9478758	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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