Steward, Laurie Shannon

Steward, Laurie Shannon is an individual health care provider with primary practice located at 215 Katherine Dr Ste A , Flowood MS 39232-9588. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Steward, Laurie Shannon can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
215 Katherine Dr Ste A Flowood MS 39232-9588
Phone: (601) 665-4162
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60072704 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 078577-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP181089 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 906283 Mississippi

Profile Details

NPI number 1609809243
LBN Legal business name Steward, Laurie Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jan 5th, 2024 - about 2 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 1609809243 NPPES
Washington MEDICAID 1609809243
Washington Other P01745240

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