| NPI | 1972225704 |
|---|---|
| Former Name | SHANNON NICOLE HIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11021241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9494102) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-03-07 |