Shannon Jordan-Sutton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN082388 Issued in GA

Practice address

400 Dawson Commons Cir Ste 410
Dawsonville, GA 30534-6269

Phone

(706) 344-1263

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1801393277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEATTIE PL",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR STE 410",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-344-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-SUTTON",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN082388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Joseph Keating, M.D.
• Nabil Keith, MD

• Licensed Practical Nurse in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.