Mrs Shannon Taylor Lavender Cook, MSN, FNP-C | |
6500 Maccorkle Ave, Saint Albans, WV 25177-2326 | |
(304) 768-0002 | |
(304) 768-5093 |
Full Name | Mrs Shannon Taylor Lavender Cook |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6500 Maccorkle Ave, Saint Albans, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659159564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 104481 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 104481 (West Virginia) | Primary |
Entity Name | Charleston Nephrology Hypertension And Transplant Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003017823 PECOS PAC ID: 0042301814 Enrollment ID: O20070808000398 |
Entity Name | Exceptional Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245900794 PECOS PAC ID: 5799175741 Enrollment ID: O20221123001003 |
Mailing Address | Practice Location Address |
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Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 Ph: (304) 768-0002 | Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 6500 Maccorkle Ave, Saint Albans, WV 25177-2326 Ph: (304) 768-0002 |
Zachary Holbert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Vine St, Saint Albans, WV 25177 Phone: 304-400-7241 | |
Jennifer Lynn Ranson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 | |
Kathalene Antoinette Nottingham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 987 Elliot St, Saint Albans, WV 25177 Phone: 304-982-2104 |