Mccormick, Shannon Green

Mccormick, Shannon Green is an individual health care provider with primary practice located at 4612 S. Claiborne Ave. , New Orleans LA 70125. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Mccormick, Shannon Green can be contacted via phone (504) 496-0212.

Contact Information

Primary practice address
4612 S. Claiborne Ave. New Orleans LA 70125
Phone: (504) 496-0212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 71607 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 204160 Louisiana

Profile Details

NPI number 1295281806
LBN Legal business name Mccormick, Shannon Green
Credentials APRN, CFCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295281806 NPPES
Other 1295281806 CENTERS FOR MEDICARE AND MEDICAID SERVICES IDENTITY & ACCESS (I&A) SYSTEM

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