Individual
SHANNON PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 YOUNG AVE STE 180, MOORESTOWN, NJ 08057-3139
(856) 291-8600
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00782800
NJ
Other
Enumeration date
11/22/2017
Last updated
11/05/2020
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