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

MS. Shannon M Kelly-Schug, GNP

Individual provider Gerontology Nurse Practitioner · NPI 1891779567

MS. Shannon M Kelly-Schug, GNP is a Gerontology Nurse Practitioner in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-5041
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R120875-9 (MN)

Record details

NPI number1891779567
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESFebruary 13, 2013

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