Individual
SHANNON KHULUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
142 STATE ROUTE 35 S, EATONTOWN, NJ 07724-1876
(732) 389-5004
(732) 389-1850
Mailing address
142 STATE ROUTE 35 S, EATONTOWN, NJ 07724-1876
(732) 389-5004
(732) 389-1850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00061500
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00061500
NJ
Other
Enumeration date
02/08/2007
Last updated
02/28/2025
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