Provider Demographics
NPI:1407957095
Name:SCEARCE, SHANNON N (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:N
Last Name:SCEARCE
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:EPPS
Other - Last Name:RUNION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:235 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:VA
Mailing Address - Zip Code:24558-2995
Mailing Address - Country:US
Mailing Address - Phone:434-830-2605
Mailing Address - Fax:
Practice Address - Street 1:235 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:VA
Practice Address - Zip Code:24558-2995
Practice Address - Country:US
Practice Address - Phone:434-830-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002467115363LF0000X
VA0024167115363LF0000X
NC5007618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024167115OtherVA NP LICENSE
VA010342066Medicaid
VA010342066Medicaid
VAQ76459Medicare UPIN