Waters, Shannon Kay

Waters, Shannon Kay is an individual health care provider with primary practice located at 322 Mulberry St Sw Suite A, Lenoir NC 28645-5702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Waters, Shannon Kay can be contacted via phone (828) 757-6460.

Contact Information

Primary practice address
322 Mulberry St Sw Suite A Lenoir NC 28645-5702
Phone: (828) 757-6460
Fax: (828) 759-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101692 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1538365184
LBN Legal business name Waters, Shannon Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Mar 17th, 2021 - about 5 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 1538365184 NPPES
North Carolina Other 081159 STATE NURSING LICENSE
North Carolina Other 101692 STATE NURSING LICENSE

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