Shannon Wallace, FNP-C

NPI #1992699326 in Buffalo, Missouri

Provider Information

NPI Number
1992699326
Entity Type
Individual
Name
Shannon Wallace, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Jun 9, 2025
Last Updated
Jun 9, 2025

Practice Location

Address
201 S ASH ST
ZIP Code
65622-8674
Phone
(417) 325-6000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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