Taylor, Shannon Rae

Taylor, Shannon Rae is an sole proprietor health care provider with primary practice located at 550 Carothers Ln , Russellville AR 72802-8231. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Taylor, Shannon Rae can be contacted via phone (479) 747-7913.

Contact Information

Primary practice address
550 Carothers Ln Russellville AR 72802-8231
Phone: (479) 747-7913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005875 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A005875 Arkansas

Profile Details

NPI number 1952882227
LBN Legal business name Taylor, Shannon Rae
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2018
Last updated Dec 21st, 2020 - about 6 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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