Sickle, Shannon Rose

Sickle, Shannon Rose is an individual health care provider with primary practice located at 1325 Travis Blvd Ste C , Fairfield CA 94533-4611. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sickle, Shannon Rose can be contacted via phone (707) 398-8916.

Contact Information

Primary practice address
1325 Travis Blvd Ste C Fairfield CA 94533-4611
Phone: (707) 398-8916
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95231874 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95016166 California

Profile Details

NPI number 1851774962
LBN Legal business name Sickle, Shannon Rose
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Jun 12th, 2023 - about 3 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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