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

Shannon Marie Scanlon, FNP

Individual provider Family Nurse Practitioner · NPI 1104545292

Shannon Marie Scanlon, FNP is a Nurse Practitioner in Grand Ledge, Michigan. Qualified in 2022, 4 years ago. Practices with Dermatology and Skin Surgery Center, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

701 Pleasant St
Grand Ledge, MI 48837-1344
Phone: (254) 258-2584
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022008174 (MI)

Record details

NPI number1104545292
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermatology And Skin Surgery Center — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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