Nurse Practitioner
Miss SHANNON BEAGAN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366047896 · enumerated 2020-12-02 · record updated 2020-12-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4100 JOHN R ST, DETROIT, MI, 48201-2013 (313) 576-9213 Google Maps Apple Maps OpenStreetMap
- Mailing address 16721 PHILOMENE BLVD, ALLEN PARK, MI, 48101-2419 (313) 289-1478 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 4704274132 MI
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482012013
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.