Shannon Crystal Prevost
Shannon Crystal Prevost is a Nurse Practitioner in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
Practice location Address checks out
11008 New Market CtFredericksburg, VA 22407-2529
Phone: (443) 875-4058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 0024181386 (VA) |
|---|
Record details
| NPI number | 1205590635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 21, 2021 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 11008 New Market Ct, Fredericksburg, VA 22407-2529 |
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