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General NPI Number Information
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NPI Number | 1851180954
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Entity Type | Organization
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Legal Business Name | SHANNON HEALTH SOLUTIONS
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2469 ATHIS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70122-5358
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Country | US
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Telephone | 504-505-6860
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Fax | 504-233-7684
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Provider Business Mailing Address
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Address Line | 900 CAMP ST
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City | NEW ORLEANS
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State | LA
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Zip | 70130-3971
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Country | US
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Telephone | 504-220-1887
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Fax | 504-233-7684
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHANNON REGINA JACKSON
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Credential | NP
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Telephone | 504-220-1887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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