Individual
SHANNON CATHLEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
601 ROUTE 37 W STE 104, TOMS RIVER, NJ 08755-8050
(732) 240-1100
Mailing address
601 RTE 37 W STE 104, TOMS RIVER, NJ 08755-8050
(732) 240-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NR01268700
NJ
Other
Enumeration date
02/10/2022
Last updated
02/11/2022
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