Provider Demographics
NPI:1972198554
Name:HERRING, SHANNON RICE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:RICE
Last Name:HERRING
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HERRELL RD
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-5527
Mailing Address - Country:US
Mailing Address - Phone:770-812-8541
Mailing Address - Fax:770-812-8561
Practice Address - Street 1:20 HERRELL ROAD
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180
Practice Address - Country:US
Practice Address - Phone:770-812-8541
Practice Address - Fax:770-812-8561
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP135487363LP0808X
GARN135487363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health