Individual
JAMES P. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(718) 250-8000
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
807241
NY
367500000X
Certified Registered Nurse Anesthetist
RN2313996
MA
Other
Enumeration date
03/25/2017
Last updated
07/13/2023
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