| Shannon Marie Scanlon, FNP | |
|
701 Pleasant St, Grand Ledge, MI 48837-1344 | |
| (254) 258-2584 | |
| Not Available |
| Full Name | Shannon Marie Scanlon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 701 Pleasant St, Grand Ledge, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104545292 | NPI | - | NPPES |
| 2022008174 | Other | MI | FAMILY NURSE PRACTITIONER CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022008174 (Michigan) | Primary |
| Entity Name | Dermatology & Skin Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083649628 PECOS PAC ID: 2668467838 Enrollment ID: O20040416001331 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Scanlon, FNP 701 Pleasant St, Grand Ledge, MI 48837-1344 Ph: (254) 258-2584 | Shannon Marie Scanlon, FNP 701 Pleasant St, Grand Ledge, MI 48837-1344 Ph: (254) 258-2584 |
Cassandra Dowker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6843 Mulberry Ln, Grand Ledge, MI 48837 Phone: 517-455-5635 | |
Ms. Christy Lee Tunney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Charlevoix Dr, Grand Ledge, MI 48837 Phone: 517-627-0100 | |
Amy Kathleen Rumsey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 300, Grand Ledge, MI 48837 Phone: 517-913-4043 | |
Lanta Winn, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11651 Shady Pines Dr, Grand Ledge, MI 48837 Phone: 517-488-3848 | |
Jami M Devarona, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 | |
Ms. Sara Kay Lentz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11731 Millstone Dr, Grand Ledge, MI 48837 Phone: 517-896-4058 |