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Individual

SHANNON M HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7182
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-7182

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00008300
NJ

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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