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Individual

SHANNON GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
856 S WHITE HORSE PIKE UNIT 2, HAMMONTON, NJ 08037-2032
(609) 704-8848
Mailing address
1137 MILLER AVE, GLOUCESTER CITY, NJ 08030-1326
(609) 923-7880

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01032000
NJ
363LP0200X
Pediatric Nurse Practitioner
SP021825
PA

Other

Enumeration date
05/27/2020
Last updated
05/27/2020
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