Individual
SHANNON STEWART JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2500
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677526
NY
2084P0804X
Child & Adolescent Psychiatry Physician
403493
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403493
NY
Other
Enumeration date
04/06/2021
Last updated
04/21/2025
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