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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANICE ELIZABETH SHANNON, LN

Active Sole Proprietor

JANICE ELIZABETH SHANNON, LN is a Nutritionist healthcare provider located in SOUTHPORT, North Carolina. NPI 1750961587 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · SOUTHPORT, NC

Registration Details

NPI Number
1750961587
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2021 (5.3715413227346 yrs)
Last Updated
Apr 14, 2021
Licenses
NU000008 (NC)
NU000008 (NC)
Sole Proprietor
Yes

Practice Information

Address
4375 TIDEMARSH CT
SOUTHPORT, NC, 284618314
Browse NC providers · Browse ZIP 28461
Phone
9108540570
Primary Specialty
Nutritionist
133N00000X
Additional Specialty
Nutritionist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.