Individual provider · Type 1 NPI
Shannon Edwards
Driver · Table Rock, NE
NPI number
1538811997
Active
Practice location
308 Luzerne
Table Rock, NE 68447
Mailing address
510 8th St
Table Rock, NE 68447-3021
Other practice locations
- 708 Luzerne St, Table Rock, NE 68447-3010 · (816) 654-5138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chore Provider | 372500000X | None listed |
| Adult Companion | 372600000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1538811997
Shannon Edwards's National Provider Identifier is 1538811997, issued on Jan 26, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Table Rock, NE. The record was last updated on Feb 12, 2025.