Individual provider · Type 1 NPI

Shannon Penix, RN

Addiction (Substance Use Disorder) Registered Nurse · Portsmouth, OH

NPI number 1063399707 Active

Practice location

729 6th St
Portsmouth, OH 45662-4030

Fax (740) 529-1205

Mailing address

2716 Scioto Trl
Portsmouth, OH 45662-2500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XRN.554893 (OH)
Peer Specialist 175T00000XAPS.006524 (OH)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1063399707

Shannon Penix, RN's National Provider Identifier is 1063399707, issued on Aug 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Apr 20, 2026.