Individual
JOCELYN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13214 FOUNTAIN HEAD PLZ, HAGERSTOWN, MD 21742-2678
(301) 766-9293
Mailing address
20907 MOUNT AETNA RD, HAGERSTOWN, MD 21742-1127
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R206255
MD
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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