Most Relevant Information
Provider Data
| NPI Number: | 1003519034 |
| Provider Name: | SHANNON RIPPEON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2023 |
| Last Updated: | 03/27/2023 |
Provider Practice Location
4645 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON
DC
200193622
Practice Location Phone/Fax
| Phone: | 2027334904 |
| Fax: |
Provider Mailing Location
110 LASTNER LN
GREENBELT
MD
207701615
Provider Mailing Phone/Fax
| Phone: | 2404246214 |
| Fax: |