Organization
SHANNON JAP MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NICOLE JAP MD (OWNER)
(614) 226-5484
Entity
Organization
Contact information
Practice address
571 HIGH ST STE 11, WORTHINGTON, OH 43085-4132
(614) 226-5484
(937) 606-3077
Mailing address
571 HIGH ST STE 11, WORTHINGTON, OH 43085-4132
(614) 226-5484
(937) 606-3077
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
03/30/2021
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