Healthcare Provider Details

I. General information

NPI: 1912152927
Provider Name (Legal Business Name): SHANNA GARRIS STEELMAN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHANNA STEELMAN NP

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 HIGHLAND OAKS DR STE 100
WINSTON SALEM NC
27103-7105
US

IV. Provider business mailing address

PO BOX 604136
CHARLOTTE NC
28260-4136
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-1970
  • Fax: 336-718-8601
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5004877
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: