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

Shannon Danielle Willard

Individual provider Peer Specialist · NPI 1639053580

Shannon Danielle Willard is a Peer Specialist in Poplar Bluff, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1639053580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address3001 Warrior Ln, Poplar Bluff, MO 63901-8685

Other providers in Poplar Bluff