Ellis, Shannon M

Ellis, Shannon M is an individual health care provider with primary practice located at 200 Pavilion Way , Southern Pines NC 28387-4561. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ellis, Shannon M can be contacted via phone (910) 235-3204.

Contact Information

Primary practice address
200 Pavilion Way Southern Pines NC 28387-4561
Phone: (910) 235-3204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001009344 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-09344 North Carolina

Profile Details

NPI number 1841848678
LBN Legal business name Ellis, Shannon M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2019
Last updated Sep 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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