IndividualActive
Ardis Shannon
NPI 1508628777 · Driver · Suffolk, VA
Provider details
- NPI number
- 1508628777
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 243944436 (MS)
Specialties & taxonomies
Other Service Providers
Transportation Services
Transportation Services
Practice location
4522 Marlin Ave
Suffolk, VA 23435-2377
Phone: (757) 641-1876
Approximate (ZIP-level) locationGet directions
Mailing address
4522 Marlin Avenue, Suffolk, Va, USA
Suffolk, VA 23435-2377
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.