Individual provider · Type 1 NPI
Chaunta Wade Shannon
Licensed Practical Nurse · Locust Grove, GA
NPI number
1831940741
Active
Practice location
1090 Eagles Brooke Dr
Locust Grove, GA 30248-2475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 325286 (MS) |
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.
Other licensed practical nurse providers in Locust Grove
About NPI 1831940741
Chaunta Wade Shannon's National Provider Identifier is 1831940741, issued on Mar 28, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Locust Grove, GA. The record was last updated on Mar 28, 2024.