Shannon Etheridge Whitten in Sandersville - Family
Shannon Etheridge Whitten - NPI 1508045840
Shannon Etheridge Whitten is a Family in Sandersville, Georgia. Shannon Etheridge Whitten practices all healthcare services and medical treatments related to Family. The NPI Number for Shannon Etheridge Whitten is 1508045840. The last update date is 2010-12-01.
Shannon Etheridge Whitten's current location address is 616 Ferncrest Dr, Sandersville, Georgia. You can contact this provider via phone number 4788643448 and fax number 4788641288. The mailing address for Shannon Etheridge Whitten is 616 Ferncrest Dr, Sandersville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Etheridge Whitten |
|---|---|
| Address | 616 Ferncrest Dr, Sandersville, Georgia |
| Phone Number | 4788643448 |
| Fax Number | 4788641288 |
| Sole Proprietor | N |
| Credentials | M.S.,NP-C, |
NPI Number Detail
| NPI Number | 1508045840 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 616 Ferncrest Dr |
|---|---|
| City | Sandersville |
| State | Georgia (GA) |
| Post Code | 310821863 |
| Phone Number | 4788643448 |
| Fax Number | 4788641288 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R117082 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Shannon Etheridge Whitten by the Centers for Medicare & Medicaid Services?
The Shannon Etheridge Whitten has been issued the NPI (National Provider Identifier) 1508045840 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shannon Etheridge Whitten is physically located?
The Shannon Etheridge Whitten is physically situated at the following address: 616 Ferncrest Dr, Sandersville, GA, 310821863.
What is Shannon Etheridge Whitten's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Etheridge Whitten's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When was the Shannon Etheridge Whitten's 1508045840 issued?
The Shannon Etheridge Whitten's 1508045840 was issued on 2007-11-02.
When was the information regarding Shannon Etheridge Whitten most recently updated?
The details pertaining to the Shannon Etheridge Whitten, including its address, specialty, and other relevant information, were last refreshed on 2010-12-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY