Shannon Michelle Wilson, LPN
Licensed Practical Nurse in Tallmadge, OH. Individual provider (NPI-1).
NPI number1841752425
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1841752425
- Entity type
- Individual (NPI-1)
- Name
- Shannon Michelle Wilson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2019
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN.162856.MEDS-IV | OH | Yes |
Practice location
38 S Thomas Rd Unit BTallmadge, OH 44278-2100
Phone 330-805-0577
Mailing address
38 S Thomas Rd Unit BTallmadge, OH 44278-2100
Phone 330-805-0577
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All 10 Licensed Practical Nurse providers in Tallmadge · All 546 providers in Tallmadge
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