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Contact Information

SHANNON BURNETTE, RN,MSN
4409 MAINE ST
QUINCY, IL62305-5849
 Phone: 217-223-0423
 Fax: 217-223-0461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SHANNON BURNETTE · (Female)

NPI Number 1932293362
Status Active
Credentials RN,MSN
Entity Individual
Enumeration date 10/02/2006
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IA License # T184569
  • IL License # 041305868
  • IL License # 2005010932
Hospital affiliation(s) Not Available
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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