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

Shannon Doherty

Individual provider Licensed Practical Nurse · NPI 1275177917

Shannon Doherty is a Licensed Practical Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

600 Wayne Ave
Dayton, OH 45410-1122
Phone: (937) 496-2000
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 164178 (OH)

Record details

NPI number1275177917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019
Mailing address600 Wayne Ave, Dayton, OH 45410-1122

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