| NPI | 1265803399 |
|---|---|
| Former Name | SHANNON MILLSAPS LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 158203) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008025) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008025) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-09-26 |