Individual
SHANNON JEAN FOLEY
Active
Individual
SHANNON JEAN FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
LP-0010585
DE
363LA2200X
Adult Health Nurse Practitioner
Primary
R140287
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125008
PVS SECURITY CODE
DE
01
—
LP0010585
NURSE PRACTITIONER LICENSE
DE
01
—
R140287
MARYLAND LICENSE
MD
Enumeration date
10/06/2022
Last updated
12/11/2023
Update your record
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