| NPI | 1053757971 |
|---|---|
| Former Name | SHANNON M. GRAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14768) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.14768) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14768) | |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2025-09-24 |