MRS. SHANON RENEE PHILLIPS CPNP NPI 1932348745

NPI Information

NPI: 1932348745
Provider Name: MRS. SHANON RENEE PHILLIPS, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5040 BILL GARDNER PKWY
SUITE 100
LOCUST GROVE, GA
ZIP 30248
Phone: (678) 583-5437
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MRS. Shanon Renee Phillips, CPNP is a pediatrics nurse practitioner in Locust Grove, GA. MRS. Shanon Renee Phillips, CPNP NPI is 1932348745. 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:

5040 BILL GARDNER PKWY
SUITE 100
LOCUST GROVE, GA
ZIP 30248-757
Phone: (678) 583-5437
Fax: (678) 583-5484

The enumeration date for this NPI number is 2/18/2009 and was last updated on 12/3/2013.

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	363L00000X	Nurse Practitioner		RN169956	GEORGIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	RN169956	GEORGIA	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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