SHANNON WALLACE

BUFFALO, MO
NPI1992699326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2025020699)
Enumeration Date2025-06-09
Last Update Date2025-06-09
Business Address
SHANNON WALLACE FNP-C
201 S ASH ST
BUFFALO, MO 65622-8674
Phone number: 417-325-6000
Mailing Address
SHANNON WALLACE FNP-C
21350 COUNTY ROAD 401
URBANA, MO 65767-8576
Phone number: 620-288-0416