Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon M Cooke, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1619168473

Mrs. Shannon M Cooke, WHNP-BC is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2006, 20 years ago. Licensed in Ohio and South Carolina.

Years since qualifying
20
Licensed in
OH, SC
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

330-C Pelham Rd Ste B-102
Greenville, SC 29615-2961
Phone: (864) 412-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 3302 (SC)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 08967 (OH)

Record details

NPI number1619168473
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESMarch 7, 2023
Certification dateMarch 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Greenville