Mrs Shannon L Harrell, NP | |
4893 Hammer Ln, Lake Park, GA 31636-3090 | |
(229) 560-8758 | |
Not Available |
Full Name | Mrs Shannon L Harrell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4893 Hammer Ln, Lake Park, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427742774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN281854 (Georgia) | Primary |
Entity Name | Behavioral Health Services Of South Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801932371 PECOS PAC ID: 0840181426 Enrollment ID: O20040323000824 |
Entity Name | Southland Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shannon L Harrell, NP 4893 Hammer Ln, Lake Park, GA 31636-3090 Ph: (229) 560-8758 | Mrs Shannon L Harrell, NP 4893 Hammer Ln, Lake Park, GA 31636-3090 Ph: (229) 560-8758 |
Amanda Chae Morgan, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Sequani Cir, Lake Park, GA 31636 Phone: 229-300-5867 | |
Margarita Lepe, APRN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2186 J Frank Culpepper Rd, Lake Park, GA 31636 Phone: 229-559-4550 | |
Mrs. Summer Megan Stokes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4846 Smokey Ln, Lake Park, GA 31636 Phone: 229-886-0942 |