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

Shannon Miller Ullman, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1871102277

Shannon Miller Ullman, APRN-CNP is a Nurse Practitioner in Clarksburg, West Virginia. Qualified in 2020, 6 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020

Practice location Address checks out

489 Washington Ave
Clarksburg, WV 26301-2825
Phone: (304) 622-2708
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 106952 (WV)

Record details

NPI number1871102277
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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