SHANNON LORENE PURVIS LVN NPI 1750570065

NPI Information

  • NPI: 1750570065
  • Provider Name: SHANNON LORENE PURVIS, LVN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 102 W MAIN ST
    SAN JACINTO, CA
    ZIP 92583
  • Phone: (951) 487-8376

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NPI Details

Shannon Lorene Purvis, LVN is a mental health counselor in San Jacinto, CA. Shannon Lorene Purvis, LVN NPI is 1750570065. 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:

102 W MAIN ST
SAN JACINTO, CA
ZIP 92583-121
Phone: (951) 487-8376
Fax: (951) 487-8458

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.

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
1101YM0800XCounselorMental HealthVN 221198CALIFORNIAYes

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: 3/30/2025

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