1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Licensed Practical Nurse
  6. NPI Profile

SHANNON GRESHAM
NPI 1306569249
Licensed Practical Nurse in Green Bay, WI

Active since September 26, 2022
2357 W MASON ST, GREEN BAY, WI 54303(192) 026-5570 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Gresham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON GRESHAM (NPI 1306569249) is an individual licensed practical nurse in Green Bay, Wisconsin, licensed in Wisconsin (320921-31) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1306569249
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON GRESHAM
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (192) 026-5570
Phone(192) 026-5570
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1306569249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 320921-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2357 W MASON ST, Green Bay, WI 54303
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JAMIE THEISEN SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Shannon Gresham's NPI number?

The NPI number for Shannon Gresham is 1306569249. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Shannon Gresham located?

Shannon Gresham practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (192) 026-5570.

What is Shannon Gresham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shannon Gresham was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.