Johnson, Shannon Marie

Johnson, Shannon Marie is an sole proprietor health care provider with primary practice located at 152 Highway 7 S , Oxford MS 38655-5392. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Johnson, Shannon Marie can be contacted via phone (662) 234-7521.

Contact Information

Primary practice address
152 Highway 7 S Oxford MS 38655-5392
Phone: (662) 234-7521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 337432 Mississippi

Profile Details

NPI number 1457096349
LBN Legal business name Johnson, Shannon Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2022
Last updated May 4th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457096349 NPPES
Mississippi Other 337432 LPN LICENSE NUMBER

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