Individual provider · Type 1 NPI
Shannon Crystal Prevost
Nurse Practitioner · Fredericksburg, VA
Practice location
11008 New Market Ct
Fredericksburg, VA 22407-2529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0024181386 (VA) |
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 1205590635
Shannon Crystal Prevost's National Provider Identifier is 1205590635, issued on Oct 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Oct 21, 2021.