Individual provider · Type 1 NPI

Shannon Mackeigan, NP

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1346592011 Active

Practice location

25 Michigan St NE Ste 2100
Grand Rapids, MI 49503-2526

Fax (616) 391-2978

Mailing address

100 Michigan NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704195282 (MI)
Pediatric Nurse Practitioner Primary 363LP0200X4704195282 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1346592011

Shannon Mackeigan, NP's National Provider Identifier is 1346592011, issued on Oct 5, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 3, 2026.