National Provider Identifier Database

PATRICIA SHANNON
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

PATRICIA SHANNON
151 N MAIN ST
DECATUR, IL62523
Phone: 217-362-6262
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for PATRICIA SHANNON

NPI Number 1174049209
Credentials
Entity Individual
Enumeration date 08/21/2017
Last updated 08/21/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 043042053
  • IL Medicaid: 1639231731
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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