Individual provider · Type 1 NPI

Shannon Allen

Nurse Practitioner · Green Bay, WI

NPI number 1609616341 Active

Practice location

610 N Broadway
Green Bay, WI 54303-3426

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	15394-33 (WI)

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 1609616341

Shannon Allen's National Provider Identifier is 1609616341, issued on May 30, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 15, 2026.