Parks, Shannon D
Parks, Shannon D is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 220 , Mount Vernon IL 62864-2476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Parks, Shannon D can be contacted via phone (618) 899-3900.Contact Information
Primary practice address
2 Good Samaritan Way Ste 220
Mount Vernon IL 62864-2476
Phone: (618) 899-3900
Fax: (618) 899-4786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209020223 | Illinois |
Profile Details
| NPI number | 1598308389 |
|---|---|
| LBN Legal business name | Parks, Shannon D |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2019 |
| Last updated | Jun 20th, 2025 - about last year |
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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