Shannon, Amanda Gail

Shannon, Amanda Gail is an individual health care provider with primary practice located at #8 Medical Plaza Health Resources Of Arkansas, Mountain Home AR 72653. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shannon, Amanda Gail can be contacted via phone (870) 425-6901.

Contact Information

Primary practice address
#8 Medical Plaza Health Resources Of Arkansas Mountain Home AR 72653
Phone: (870) 425-6901
Fax: (870) 424-0903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPT-002955 Arkansas

Profile Details

NPI number 1215171061
LBN Legal business name Shannon, Amanda Gail
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 2009 - about 16 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 1215171061 NPPES
Arkansas Other LTP-002955 LPN

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