MRS. SHANNON NICOLE WILLIAMS (NPI# 1598061921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598061921 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON NICOLE WILLIAMS |
| Credential | FNP |
| Practice Address |
3452 Stephen Earl Vancleave MS 39565-7609 |
| Mailing Address |
9805 Pine Trl N/a Vancleave MS 39565-4600 |
| Practice Telephone | 6016022014 |
| Practice Fax Number | 6016022015 |
| Mailing Telephone | 2288607759 |
| Mailing Fax Number | 6016022015 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0311064 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00584811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405952 | Shannon Williams | Technician/Technologist | 34 Birch Cir, Port Wentworth, GA 31407-3376 | 2020-01-02 |
| 1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
| 1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
| 1942712310 | Shannon Marie Williams | Nurse Practitioner | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-10-25 |
| 1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
| 1023551785 | Shannon Williams | Nurse Practitioner | 7416 Calder Ave, Sebastopol, CA 95472-4356 | 2016-11-29 |
| 1508228008 | Shannon Williams | Registered Nurse | Jblm North Ft Bldg 13815, Tacoma, WA 98431-0001 | 2016-03-23 |
| 1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
| 1023256658 | Shannon Leigh Williams | Speech-Language Pathologist | 330 Marean Rd, Newark Valley, NY 13811-3537 | 2009-02-04 |
| 1275736431 | Shannon Lucas Williams | Counselor | 645 Bells Branch Rd, Newton Grove, NC 28366-7585 | 2007-06-06 |
| Street Address |
3452 STEPHEN EARL |
| City | VANCLEAVE |
| State | MS |
| Zip Code | 39565-7609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761950 | Jake Wallace Carzoli | Nurse Practitioner | 11700 Ms-57, Vancleave, MS 39565 | 2018-02-22 |
| 1992129316 | Ashlynn Evan Crum | Speech-Language Pathologist | 8728 Doobie Ct., Vancleave, MS 39565 | 2014-02-05 |
| 1851695720 | Coast Nurse Practitioners, Inc. | Nurse Practitioner | 13300 R.s. Kimball Road, Vancleave, MS 39565 | 2011-01-06 |
| 1538484761 | Sarah Burke | Speech-Language Pathologist | 477 Colonel Vickrey Road, Vancleave, MS 39565 | 2010-03-31 |
| 1194058842 | Jackson County School District | Local Education Agency (LEA) | 4700 Colonel Vickrey Road, Vancleave, MS 39565 | 2009-09-14 |
| 1962566224 | John Michael Martin | Nurse Practitioner | 1330 R S Kimball, Vancleave, MS 39565 | 2006-12-21 |
| 1619919156 | Lennon E. Bowen Iv | Psychiatry & Neurology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2006-06-11 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1164971867 | Clarissa Picard | Occupational Therapist | 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 | 2016-09-23 |
| 1629427174 | Amanda Rayburn | Registered Nurse | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2016-06-06 |
| Find all providers in zip 39565 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740798 | Shana Marie Broussard | Nurse Practitioner | 10404 Tucker Rd # LLC, Vancleave, MS 39565-7922 | 2020-05-05 |
| 1679116644 | Felicia Sellers | Nurse Practitioner | 9304 Briarcrest Ln, Vancleave, MS 39565-8261 | 2019-10-23 |
| 1316483084 | Traci White | Nurse Practitioner | 18540 Highway 57, Vancleave, MS 39565-6420 | 2017-01-18 |
| 1417252891 | Vecie Michele Harris | Nurse Practitioner | 9005 Ashburn Rd, Vancleave, MS 39565-8254 | 2011-01-17 |
| 1962683623 | Coast Nurse Practitioners, Inc | Nurse Practitioner | 13300 Rs Kimball Rd, Vancleave, MS 39565-7235 | 2007-11-21 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1174911960 | Brittany Mcelhaney | Nurse Practitioner | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2014-12-31 |
| 1992105191 | Jami Lechner | Nurse Practitioner | 11700 Highway 57, Vancleave, MS 39565-8309 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.