Individual
SHANNON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 DAVIS AVE FL 4, NEPTUNE, NJ 07753-4488
(732) 776-4770
(732) 776-3763
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00841700
NJ
363A00000X
Physician Assistant
—
NY
Other
Enumeration date
04/13/2020
Last updated
12/31/2025
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