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

Shannon Gresham

Individual provider Licensed Practical Nurse · NPI 1306569249

Shannon Gresham is a Licensed Practical Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

2357 W Mason St
Green Bay, WI 54303-4708
Phone: (192) 026-5570
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 320921-31 (WI)

Record details

NPI number1306569249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address2357 W Mason St, Green Bay, WI 54303-4708

Other providers in Green Bay