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

CHAUNTA WADE SHANNON

Active Sole Proprietor

CHAUNTA WADE SHANNON is a Licensed Practical Nurse healthcare provider located in LOCUST GROVE, Georgia. NPI 1831940741 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LOCUST GROVE, GA

Registration Details

NPI Number
1831940741
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2024 (2.3678253696538 yrs)
Last Updated
Mar 28, 2024
License
325286 (MS)
Sole Proprietor
Yes

Practice Information

Address
1090 EAGLES BROOKE DR
LOCUST GROVE, GA, 302482475
Browse GA providers · Browse ZIP 30248
Phone
4196103721
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LOCUST GROVE, GA

Name Credential NPI
KENNESHA LAVERNE ALEXANDER LPN/NURSE 1760780068
DENNA CRUTCHFIELD 1821462409
JEWEL BLAKE-HENRY LPN 1932093473
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.