SHANNON LEIGH FASIG

SPRINGFIELD, IL
NPI1972056869
Former NameSHANNON LEIGH ROLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014497)
Enumeration Date2016-07-27
Last Update Date2023-02-03
Business Address
SHANNON LEIGH FASIG FNP
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
Mailing Address
SHANNON LEIGH FASIG FNP
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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