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SHANNON WILLIS
NPI 1700745692
Student in an Organized Health Care Education/Training Program in Greensboro, NC

Active since January 17, 2026
1121 N CHURCH ST, GREENSBORO, NC 27401(336) 832-3358 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Willis NPPES

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

SHANNON WILLIS (NPI 1700745692) is an individual student in an organized health care education/training program in Greensboro, North Carolina, licensed in North Carolina (239107) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1700745692
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON WILLIS
Location Address1121 N CHURCH STGreensboro, NC 27401-1007
Mailing Address8200 Joe Jessup CtGreensboro, NC 27455-9355 · (336) 337-2908
Phone(336) 832-3358
Sole ProprietorNo
Enumeration DateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
✔ NPI 1700745692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · 239107
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1121 N CHURCH ST, Greensboro, NC 27401
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Other Names 1

Former Name (1)Shannon Lee Cannon

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.

COLLIN FISHER HINNANT PA-C
Physician Assistant
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 207-7005
CHRISHA JONES
Registered Nurse (Critical Care Medicine)
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (919) 407-0693
SADLER LINDSAY BELLAMY DNP, FNP-C
Nurse Practitioner (Family)
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
CLARA LUZ ORTEGA BSN, RN, RNC-OB
Student in an Organized Health Care Education/Training Program
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-6500
DR. JESSICA JANE SIBLEY MD
Pediatrics
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-6500
HALEY SAGE PA-C
Physician Assistant
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 207-7005
DR. ABIGAIL CHAVEZ DNP, ACNPC- AG
Nurse Practitioner (Acute Care)
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
DR. MAN KIT HO MD
Hospitalist
1121 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-4380

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 Willis's NPI number?

The NPI number for Shannon Willis is 1700745692. It was assigned to this individual provider in the NPPES registry on January 17, 2026. The provider is also known as Shannon Lee Cannon.

Where is Shannon Willis located?

Shannon Willis practices at 1121 N Church St, Greensboro, NC 27401. The listed phone number is (336) 832-3358.

What is Shannon Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Willis was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.