Individual
BRIAN HUGH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1138 E CHESTNUT AVE STE 8B, VINELAND, NJ 08360-5053
(856) 213-9733
(856) 575-5080
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 247-7210
(856) 247-7511
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00533400
NJ
363LF0000X
Family Nurse Practitioner
26NJ00533400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454061
—
NJ
Enumeration date
12/10/2014
Last updated
12/24/2025
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