JACQUALYN D SHANNON
NPI 1114731403
Developmental Therapist in Bowling Green, KY
About Jacqualyn D Shannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUALYN D SHANNON (NPI 1114731403) is an individual developmental therapist in Bowling Green, Kentucky, licensed in Kentucky (201237255) and active in the NPI registry since February 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqualyn Shannon's NPI number?
The NPI number for Jacqualyn Shannon is 1114731403. It was assigned to this individual provider in the NPPES registry on February 5, 2025.
Where is Jacqualyn Shannon located?
Jacqualyn Shannon practices at 325 Audley Ave Apt 4, Bowling Green, KY 42101. The listed phone number is (615) 423-5017.
What is Jacqualyn Shannon's specialty?
The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.
When was this NPI record last updated?
The NPPES record for Jacqualyn Shannon was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.