Individual provider · Type 1 NPI
Shannon Leigh Fasig, FNP
Family Nurse Practitioner · Springfield, IL
NPI number
1972056869
Active
Practice location
3132 Old Jacksonville Rd
Springfield, IL 62704-7400
Fax (217) 862-0871
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209014497 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972056869
Shannon Leigh Fasig, FNP's National Provider Identifier is 1972056869, issued on Jul 27, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Feb 3, 2023.