Individual
JENNIFER SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
60 N 36TH ST, PHILADELPHIA, PA 19104-5639
(267) 359-5693
Mailing address
59 OLD MANCHESTER RD, AMHERST, NH 03031-1724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
071912-23
NH
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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