MRS. SHANON RENEE PHILLIPS CPNP NPI 1932348745

NPI Information

  • NPI: 1932348745
  • Provider Name: MRS. SHANON RENEE PHILLIPS, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 80 PARKER DR
    MONROE, GA
    ZIP 30656
  • Phone: (678) 381-2630

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NPI Details

MRS. Shanon Renee Phillips, CPNP is a pediatrics nurse practitioner in Monroe, 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:

80 PARKER DR
MONROE, GA
ZIP 30656-747
Phone: (678) 381-2630
Fax: (678) 381-2627

The enumeration date for this NPI number is 2/18/2009 and was last updated on 7/29/2024.

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
1363LP0200XNurse PractitionerPediatricsRN169956GEORGIAYes
2363L00000XNurse PractitionerRN169956GEORGIANo

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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