Individual provider · Type 1 NPI
Shelly Marie Conner, CRNP
Nurse Practitioner · Williamsport, PA
Practice location
1100 Grampian Blvd
Williamsport, PA 17701-1907
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP015543 (PA) |
| Family Nurse Practitioner | 363LF0000X | 22865 (SC) |
| Family Nurse Practitioner | 363LF0000X | APRN 82589-NP-C (WV) |
| Family Nurse Practitioner | 363LF0000X | SP015543 (PA) |
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 1114301165
Shelly Marie Conner, CRNP's National Provider Identifier is 1114301165, issued on Jul 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Williamsport, PA. The record was last updated on May 29, 2026.