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OIG exclusion detail

SHANNON TOLLEY

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
SHANNON MICHELLE TOLLEY
Address
212 WATERMARK WAY, APT 850705, PORT SAINT JOE, FL, 32456
Specialty
NURSE/NURSES AIDE
Exclusion type
1128b4
Exclusion date
20190820
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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