Woods, Shannon Michelle

Woods, Shannon Michelle is an individual health care provider with primary practice located at 118 Patriot Dr Ste 102 , Bardstown KY 40004-9094. 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 / Family is her primary health care specialty. Woods, Shannon Michelle can be contacted via phone (502) 350-1022.

Contact Information

Primary practice address
118 Patriot Dr Ste 102 Bardstown KY 40004-9094
Phone: (502) 350-1022
Fax: (502) 350-1023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3011823 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3011823 Kentucky

Profile Details

NPI number 1730697517
LBN Legal business name Woods, Shannon Michelle
Credentials APRN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Nov 9th, 2023 - about 3 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 1730697517 NPPES
Kentucky MEDICAID 7100501970

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