Individual provider · Type 1 NPI
Shannon Phillips, APRN
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1245696228
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Mailing address
621 S New Ballas Rd Ste 112A
St. Louis, MO 63141-8252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2015043774 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245696228
Shannon Phillips, APRN's National Provider Identifier is 1245696228, issued on Jan 6, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Feb 24, 2021.