IndividualActive
Dorothy Shannon, NNP-BC
NPI 1609277615 · Critical Care Neonatal Nurse Practitioner · Columbia, MO
Provider details
- NPI number
- 1609277615
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2014028450 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1021 Hitt St
Columbia, MO 65212-0001
Phone: (573) 882-2272
Fax: (573) 884-1795
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.