Johnston, Shannon
Johnston, Shannon is an individual health care provider with primary practice located at 14477 Callaway Ct , Chesterfield MO 63017-2303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnston, Shannon can be contacted via phone (314) 692-0703.Contact Information
Primary practice address
14477 Callaway Ct
Chesterfield MO 63017-2303
Phone: (314) 692-0703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209.012733 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2014021871 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.012733 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2014021871 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71015147A | Indiana |
Profile Details
| NPI number | 1902212608 |
|---|---|
| LBN Legal business name | Johnston, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Jun 11th, 2024 - about 2 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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