Phillips, Shanon Renee

Phillips, Shanon Renee is an individual health care provider with primary practice located at 5040 Bill Gardner Pkwy Suite 100, Locust Grove GA 30248-3757. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Phillips, Shanon Renee can be contacted via phone (678) 583-5437.

Contact Information

Primary practice address
5040 Bill Gardner Pkwy Suite 100 Locust Grove GA 30248-3757
Phone: (678) 583-5437
Fax: (678) 583-5484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN169956 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN169956 Georgia

Profile Details

NPI number 1932348745
LBN Legal business name Phillips, Shanon Renee
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2009
Last updated Dec 3rd, 2013 - about 13 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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