Individual
SHANNON NICOLE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD (DONA)
Contact information
Practice address
191 REBECCA PARK, BUFFALO, NY 14207
(716) 909-0074
Mailing address
191 REBECCA PARK, BUFFALO, NY 14207-1807
(716) 909-0074
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
11984
NY
Other
Enumeration date
11/14/2018
Last updated
03/20/2023
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