NPI 1255913901

Donita G Shannon

Practitioner Home Health Agency Hattiesburg, MS

Practice location

Address: 188 Millpond Dr, Hattiesburg, MS 39401-5561
Phone: (601) 405-9013

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1255913901
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2021
Record last updated: 22 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.