| Shannon Mcdonnell Miller, FNP | |
|
29 Jefferson Ct, Zion Crossroads, VA 22942-9602 | |
| (434) 654-8900 | |
| (540) 832-1728 |
| Full Name | Shannon Mcdonnell Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 29 Jefferson Ct, Zion Crossroads, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001226713 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024174550 (Virginia) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Entity Name | 360 Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710658307 PECOS PAC ID: 7911397914 Enrollment ID: O20211207000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mcdonnell Miller, FNP Po Box 79777, Baltimore, MD 21279-0777 Ph: (434) 654-7794 | Shannon Mcdonnell Miller, FNP 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 Ph: (434) 654-8900 |
Mrs. Jennifer Graham Stancil, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Jefferson Ct, Zion Crossroads, VA 22942 Phone: 434-654-8900 Fax: 844-527-3958 | |
Laura Healy Krause, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Spring Creek Pkwy, Zion Crossroads, VA 22942 Phone: 434-243-9466 Fax: 434-243-9499 |