Doctor Name: | SHAUNA MCCANN EVERETT |
NPI Number: | 1386970325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 5004534 |
Business Practice Address: | 111 Hospital Dr Tarboro, NC - 278862011 |
Business Phone Number: | 2526417150 |
Business Fax Number: | 2526417477 |
Mailing Address: | 822 Glen Abbey Dr, GREENVILLE |
State: | NC |
Postal Code: | 278589032 |
Phone Number: | 2523558378 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5004534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |