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

Shannon Lane, NP

Individual provider Gerontology Nurse Practitioner · NPI 1386428811

Shannon Lane, NP is a Gerontology Nurse Practitioner in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2807 N Ballard Rd
Appleton, WI 54911-8701
Phone: (920) 512-8822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 13535-33 (WI)

Record details

NPI number1386428811
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address108 Lamine Ln, Combined Locks, WI 54113-1100

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