Provider Demographics
NPI:1780381160
Name:MAJORS, SHANNON ANN (SRNA)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:ANN
Last Name:MAJORS
Suffix:
Gender:F
Credentials:SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 HOUSECREEK TRL APT 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-3487
Mailing Address - Country:US
Mailing Address - Phone:704-608-0383
Mailing Address - Fax:
Practice Address - Street 1:2260 HOUSECREEK TRL APT 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-3487
Practice Address - Country:US
Practice Address - Phone:704-608-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC258728163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse