Dr SHANNON FULLEN-ROBERTS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
323 FALLS NWDR
ABINGDON
VA
242108093
Tel: 2766282612
| Npi | 1245645118 |
| Pac Id | 1951522127 |
| Professional Enrollment Id | I20141101000074 |
| Last Name | FULLEN-ROBERTS |
| First Name | SHANNON |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Group Practice Pac Id | 9739099441 |
| Number Of Group Practice Members | 340 |
| Line 1 Street Address | 323 FALLS NWDR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ABINGDON |
| State | VA |
| Zip Code | 242108093 |
| Phone Number | 2766282612 |
| Hospital Affiliation Ccn 1 | 490038 |
| Hospital Affiliation Lbn 1 | SMYTH COUNTY COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 490053 |
| Hospital Affiliation Lbn 2 | JOHNSTON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 440012 |
| Hospital Affiliation Lbn 3 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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