MRS. SHANNA H MACK NP NPI 1699983338

NPI Information

  • NPI: 1699983338
  • Provider Name: MRS. SHANNA H MACK, NP
  • Classification: Nurse Practitioner - 363LX0106X
  • Specialization: Occupational Health
  • Entity Type: Individual
  • Address: 3799 12TH STREET EXT STE 1110
    CAYCE, SC
    ZIP 29033
  • Phone: (803) 755-3337

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NPI Details

MRS. Shanna H Mack, NP is an occupational health nurse practitioner in Cayce, SC. MRS. Shanna H Mack, NP NPI is 1699983338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3799 12TH STREET EXT STE 1110
CAYCE, SC
ZIP 29033-750
Phone: (803) 755-3337
Fax: (803) 955-2225

The enumeration date for this NPI number is 5/18/2007 and was last updated on 11/9/2020.

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
1363LX0106XNurse PractitionerOccupational Health2144SOUTH 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
184231OTHERSOUTH CAROLINARN LICENSE

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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