Individual provider · Type 1 NPI

Shannon Bumgardner Standish, FNP-C

Nurse Practitioner · Gastonia, NC

NPI number 1013494970 Active

Practice location

920 Cox Rd Ste 201
Gastonia, NC 28054-3435

Fax (704) 864-0228

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5010723 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013494970

Shannon Bumgardner Standish, FNP-C's National Provider Identifier is 1013494970, issued on Jul 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gastonia, NC. The record was last updated on Apr 29, 2025.