Merritt, Shannon Elizabeth

Merritt, Shannon Elizabeth is an individual health care provider with primary practice located at 207 Green St , Warner Robins GA 31093-2727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Merritt, Shannon Elizabeth can be contacted via phone (478) 787-4266.

Contact Information

Primary practice address
207 Green St Warner Robins GA 31093-2727
Phone: (478) 787-4266
Fax: (478) 787-4199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN155336 Georgia

Profile Details

NPI number 1821221045
LBN Legal business name Merritt, Shannon Elizabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated May 28th, 2015 - about 11 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 1821221045 NPPES
Georgia MEDICAID 003122615B

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