Provider Demographics
NPI:1184599854
Name:LESTER, SHANNON DAWN (FNP)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:DAWN
Last Name:LESTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 MINNEHAN BEND RD
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:45612-9795
Mailing Address - Country:US
Mailing Address - Phone:740-466-4007
Mailing Address - Fax:
Practice Address - Street 1:514 MINNEHAN BEND RD
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:45612-9795
Practice Address - Country:US
Practice Address - Phone:740-466-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.424802163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice