Individual provider · Type 1 NPI
Shanna Fortune, NP
Adult Health Nurse Practitioner · Baltimore, MD
NPI number
1013335397
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Other practice locations
- 11055 Little Patuxent Pkwy Ste 104, Columbia, MD 21044-3234 · (410) 740-0770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306629 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R191607 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013335397
Shanna Fortune, NP's National Provider Identifier is 1013335397, issued on Apr 2, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Dec 22, 2020.