Stansell, Shannon Lynn

Stansell, Shannon Lynn is an individual health care provider with primary practice located at 80 Newnan Station Drive, Suite A , Newnan GA 30265-1528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stansell, Shannon Lynn can be contacted via phone (770) 251-2060.

Contact Information

Primary practice address
80 Newnan Station Drive, Suite A Newnan GA 30265-1528
Phone: (770) 251-2060
Fax: (678) 854-9235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN134589 Georgia

Profile Details

NPI number 1104878537
LBN Legal business name Stansell, Shannon Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 13th, 2017 - about 9 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 1104878537 NPPES
Georgia MEDICAID 000936229H
Georgia MEDICAID 000936229G

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