Individual
MS. SHELLY JEAN MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.-BC
Contact information
Practice address
410 MIRACLE MILE, LEBANON, NH 03766-2639
(603) 276-3260
(603) 277-4044
Mailing address
410 MIRACLE MILE, LEBANON, NH 03766-2639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95006538
CA
363LF0000X
Family Nurse Practitioner
Primary
079739-23
NH
363LF0000X
Family Nurse Practitioner
95006538
CA
Other
Enumeration date
05/22/2017
Last updated
05/31/2024
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