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

Shannon Renae Somers

Individual provider Registered Nurse · NPI 1205557303

Shannon Renae Somers is a Registered Nurse in Ponca City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2022
Specialties on file
2

Practice location Address checks out

104 S 4th St
Ponca City, OK 74601-5329
Phone: (580) 382-4034
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 211628 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0128161 (OK)

Record details

NPI number1205557303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2022
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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