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SHANNON MARIE CONKLIN
NPI 1710614094
Clinical Nurse Specialist - Long-Term Care in Peru, IN

Active since August 05, 2022
269 MEADOWVIEW DR, PERU, IN 46970(765) 472-8049 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Marie Conklin NPPES

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

SHANNON MARIE CONKLIN (NPI 1710614094) is an individual long-term care provider in Peru, Indiana, licensed in Indiana (28200490A) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1710614094
Entity TypeIndividualFemale
Primary Taxonomy364SL0600X
Provider Legal NameSHANNON MARIE CONKLIN
Location Address269 MEADOWVIEW DRPeru, IN 46970-8996
Mailing Address269 Meadowview DrPeru, IN 46970-8996 · (765) 472-8049
Phone(765) 472-8049
Sole ProprietorNo
Enumeration DateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1710614094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SL0600X
License✔ Licensed in IN · 28200490A
269 MEADOWVIEW DR, Peru, IN 46970
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Other Providers at the Same Location NPPES 6

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

JAYNE ELLEN PUGH LPN
Clinical Nurse Specialist (Long-Term Care)
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 472-8049
MEL ANN ANDERSON
Licensed Practical Nurse
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 472-8049
DANIELLE NICOLE PARKER RN
Clinical Nurse Specialist (Long-Term Care)
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 472-8049
JENNIFER ASTRUP
Clinical Nurse Specialist (Long-Term Care)
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 472-8049
WITHAM MEMORIAL HOSPITAL
Skilled Nursing Facility
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 472-8049
ANNE-MARIE BASS RN
Registered Nurse
269 MEADOWVIEW DR
PERU, IN 46970
Miami County (765) 460-2173

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 Conklin's NPI number?

The NPI number for Shannon Conklin is 1710614094. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Shannon Conklin located?

Shannon Conklin practices at 269 Meadowview Dr, Peru, IN 46970. The listed phone number is (765) 472-8049.

What is Shannon Conklin's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Shannon Conklin was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.