Individual provider · Type 1 NPI

Shannon Gillikin

Gerontology Nurse Practitioner · New Bern, NC

NPI number 1720950256 Active

Practice location

1040 Medical Park Ave
New Bern, NC 28562-5248

Fax (252) 514-2745

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X5023162 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1720950256

Shannon Gillikin's National Provider Identifier is 1720950256, issued on Sep 23, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Bern, NC. The record was last updated on Sep 23, 2025.