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

Shannon Godbolt, APNP

Individual provider Nurse Practitioner · NPI 1497228712

Shannon Godbolt, APNP is a Nurse Practitioner in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

6308 8th Ave # 3030
Kenosha, WI 53143-5031
Phone: (262) 656-3600
Fax: (262) 656-3615
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7384 (WI)

Record details

NPI number1497228712
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019

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