| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANNON SOMER STOCKTON | 1316444169 | 2024-03-10 |
Shannon Somer Stockton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316444169. Registration indicates Shannon Somer Stockton is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Shannon Somer Stockton MD |
| Practice Office Address | 1161 21ST AVE S NASHVILLE, TN US |
| Practice Office Telephone | 6153430039 |
| Mailing Address | 1161 21ST AVE S NASHVILLE, TN 372320011 US |
| Business Telephone | 6153430039 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
| S323797938210 | OTHER | FL | FL DRIVER'S LIC |