Williams, Shannon Marie
Williams, Shannon Marie is an individual health care provider with primary practice located at 4550 Memorial Dr Ste 280 , Belleville IL 62226-5372. 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. Williams, Shannon Marie can be contacted via phone (618) 767-3235.Contact Information
Primary practice address
4550 Memorial Dr Ste 280
Belleville IL 62226-5372
Phone: (618) 767-3235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2017001325 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209015851 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015851 | Illinois |
Profile Details
| NPI number | 1942712310 |
|---|---|
| LBN Legal business name | Williams, Shannon Marie |
| Credentials | NP-C, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2017 |
| Last updated | Sep 19th, 2025 - about last year |
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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