Individual
SHANNON L. MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
955 MASSACHUSETTS AVE STE 272, CAMBRIDGE, MA 02139-3180
(774) 473-2272
(620) 202-7555
Mailing address
955 MASSACHUSETTS AVE STE 272, CAMBRIDGE, MA 02139-3180
(774) 473-2272
(620) 202-7555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2273634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110196652A
—
MA
Enumeration date
07/14/2022
Last updated
09/23/2024
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