SearchDistrict of Columbia374U00000X

Mikekisha Shannon

NPI 1215405808 · on the registry since 2018

Practice

Address
4017 Minnesota Ave Ne
Washington, DC 20019
Phone
(202) 388-9202
Organisation at this address
Second Genesis
Rmss Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia