Loftin, Shannon Haney

Loftin, Shannon Haney is an sole proprietor health care provider with primary practice located at 502 Broad St , Columbia MS 39429-3037. 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 / Family is her primary health care specialty. Loftin, Shannon Haney can be contacted via phone (601) 736-8282.

Contact Information

Primary practice address
502 Broad St Columbia MS 39429-3037
Phone: (601) 736-8282
Fax: (601) 736-8333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 901706 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901706 Mississippi

Profile Details

NPI number 1609226109
LBN Legal business name Loftin, Shannon Haney
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2016
Last updated Dec 4th, 2020 - about 5 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 1609226109 NPPES
Mississippi MEDICAID 01808562

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