Individual provider · Type 1 NPI

Shannon Green, LPN

Licensed Practical Nurse · Augusta, GA

NPI number 1700740073 Active

Practice location

1238 Dantignac St
Augusta, GA 30901-2788

Call (706) 922-0600 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN018147 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700740073

Shannon Green, LPN's National Provider Identifier is 1700740073, issued on Dec 11, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Augusta, GA. The record was last updated on Dec 11, 2025.