Shannon R. Mott
Nurse Practitioner - Family Medicine
25117 Highway 15
Union
, Mississippi 39365-9088
Shannon R. Mott
Nurse Practitioner - Family Medicine
25117 Highway 15
Union
, Mississippi 39365-9088
(601) 703-4597
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Shannon R. Mott
- Po Box 2106
- Meridian, MS
- Zip : 39302-2106
- Fax : (601) 703-4597
- Phone : (601) 703-4282
Second Address
- Shannon R. Mott
- 25117 Highway 15
- Union, MS
- Zip : 39365-9088
- Fax : (601) 774-8379
- Phone : (601) 774-8214
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R858671 | MS |
National Provider Identifier
| NPI | 1003095381 |
|---|---|
| Provider Name | Shannon R. Mott |
| First Address | Meridian, MS 39302-2106 |
| Second Address | Union, MS 39365-9088 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2007 |
| Last Update Date | 26/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.