IndividualActive
Shannon Severs, MSN, BA, RN, AGCNS-B
NPI 1457216442 · Gerontology Clinical Nurse Specialist · Indianapolis, IN
Provider details
- NPI number
- 1457216442
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, BA, RN, AGCNS-B
- Sex
- Female
- Sole proprietor
- No
- License
- 28256625A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 672-8463
Approximate (ZIP-level) locationGet directions
Mailing address
12874 Thames Dr
Fishers, IN 46037-7403
Registry dates
- Enumerated
- 2025-12-22
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.