Individual provider · Type 1 NPI
Shannon McCallum, N.P.
Primary Care Nurse Practitioner · Detroit, MI
NPI number
1649339342
Active
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
21532 Sabrina Dr
Macomb, MI 48044-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704131498 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1649339342
Shannon McCallum, N.P.'s National Provider Identifier is 1649339342, issued on Dec 8, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.