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

Mrs. Shannon Mullis, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1750781514

Mrs. Shannon Mullis, CNP is a Nurse Practitioner in Hamilton, Ohio. Qualified in 2013, 13 years ago. Practices with Exceptional Care Services LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
13
Licensed in
KY, OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1302 Millville Ave
Hamilton, OH 45013-3961
Phone: (731) 394-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.16422 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 3008903 (KY)

Record details

NPI number1750781514
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Exceptional Care Services Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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