| Mrs Shannon Taylor Lavender Cook, MSN, FNP-C | |
|
12 Kanawha Ter, Saint Albans, WV 25177-2750 | |
| (304) 201-1130 | |
| (304) 201-1134 |
| Full Name | Mrs Shannon Taylor Lavender Cook |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12 Kanawha Ter, 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003017823 PECOS PAC ID: 0042301814 Enrollment ID: O20070808000398 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Entity Name | Exceptional Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245900794 PECOS PAC ID: 5799175741 Enrollment ID: O20221123001003 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240430004109 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 Ph: (304) 757-6999 | Mrs Shannon Taylor Lavender Cook, MSN, FNP-C 12 Kanawha Ter, Saint Albans, WV 25177-2750 Ph: (304) 201-1130 |
Zachary Holbert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308 Curtis Ave, Saint Albans, WV 25177 Phone: 304-400-7241 Fax: 304-364-0011 | |
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 | |
Lisa A. Kelly, APRN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 |