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NPI Code Detail

MEDICARE: SHANNON SCOTT CNP

MEDICARE: SHANNON SCOTT CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.021057OH

General Provider Information

NPI Number : 1093249153
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON SCOTT CNP
Provider Business Mailing Address
First Line : 7114 W CLINTON AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2910
Country : US
Telephone Number : 216-318-9305
Fax Number :
Provider Business Practice Location Address
First Line : 3600 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2831
Country : US
Telephone Number : 142-262-1316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2017
Last Update Date : 03/11/2026

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Directions to “ SHANNON SCOTT CNP” Practice Location

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