Provider Demographics
NPI:1174206767
Name:BELCHER, SHANNON ELIZABETH EVANS (PMHNP-BC)
Entity type:Individual
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First Name:SHANNON
Middle Name:ELIZABETH EVANS
Last Name:BELCHER
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Gender:F
Credentials:PMHNP-BC
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Mailing Address - Street 1:445 DOLLEY MADISON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5166
Mailing Address - Country:US
Mailing Address - Phone:336-649-9000
Mailing Address - Fax:800-887-8477
Practice Address - Street 1:101 CABARRUS AVE E STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3781
Practice Address - Country:US
Practice Address - Phone:855-743-2247
Practice Address - Fax:855-773-2247
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2024-04-24
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Provider Licenses
StateLicense IDTaxonomies
NC5018561363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health