Individual provider · Type 1 NPI
Shannon R. Lane, FNP-C
Family Nurse Practitioner · Washington, IL
NPI number
1316477326
Active
Practice location
1960 Freedom Pkwy
Washington, IL 61571-9468
Mailing address
113 W Franklin St
Mc Lean, IL 61754-9624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.016035 (IL) |
| Family Nurse Practitioner | 363LF0000X | 4704384682 (MI) |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70113006-NP (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316477326
Shannon R. Lane, FNP-C's National Provider Identifier is 1316477326, issued on Jun 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Washington, IL. The record was last updated on Jul 13, 2026.