Individual
MS. SHANNA SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 SOUTH JUNIPER, 3RD FLOOR # 8528, PHILADELPHIA, PA 19107-1316
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST STE 5, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15105900
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ15105900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
SP024945
PA
Other
Enumeration date
06/08/2020
Last updated
05/13/2026
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