CHAUNTA WADE SHANNON
NPI 1831940741
Licensed Practical Nurse in Locust Grove, GA

Active since March 28, 2024
1090 EAGLES BROOKE DR, LOCUST GROVE, GA 30248(419) 610-3721 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chaunta Wade Shannon NPPES

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

CHAUNTA WADE SHANNON (NPI 1831940741) is an individual licensed practical nurse in Locust Grove, Georgia, licensed in Mississippi (325286) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1831940741
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHAUNTA WADE SHANNON
Location Address1090 EAGLES BROOKE DRLocust Grove, GA 30248-2475
Mailing Address1090 Eagles Brooke DrLocust Grove, GA 30248-2475 · (419) 610-3721
Sole ProprietorYes
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1831940741 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 MS · 325286
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.
1090 EAGLES BROOKE DR, Locust Grove, GA 30248

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 Chaunta Shannon's NPI number?

The NPI number for Chaunta Shannon is 1831940741. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Chaunta Shannon located?

Chaunta Shannon practices at 1090 Eagles Brooke Dr, Locust Grove, GA 30248. The listed phone number is (419) 610-3721.

What is Chaunta Shannon'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 Chaunta Shannon was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.