Search › Maine › 124Q00000X
Jayde Shannon,, IPH
NPI 1710266317 · on the registry since 2011
Practice
- Address
- 50 Summer St
Millinocket, ME 04462 - Phone
- (207) 528-2285
- Fax
- (207) 528-2880
- Organisation at this address
- Katahdin Valley Health Center
Katahdin Valley Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-02
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 Maine