Individual provider · Type 1 NPI

Sarah Elizabeth Ruth Shannon, APRN

Nurse Practitioner · Carbondale, IL

NPI number 1902349863 Active

Practice location

2601 W Main St
Carbondale, IL 62901

Call (618) 549-5361 Map

Fax (618) 351-4878

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 2601 W Main St, Carbondale, IL 62901 · (618) 549-5361

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XCP001152 (SD)
Nurse Practitioner Primary 363L00000X209016484 (IL)

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 1902349863

Sarah Elizabeth Ruth Shannon, APRN's National Provider Identifier is 1902349863, issued on Nov 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 29, 2026.