Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaunta Wade Shannon

Individual provider Licensed Practical Nurse · NPI 1831940741

Chaunta Wade Shannon is a Licensed Practical Nurse in Locust Grove, Georgia. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

1090 Eagles Brooke Dr
Locust Grove, GA 30248-2475
Phone: (419) 610-3721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 325286 (MS)

Record details

NPI number1831940741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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