BRIAN HUGH SHANNON APN NPI 1003214842

NPI Information

NPI: 1003214842
Provider Name: BRIAN HUGH SHANNON, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VIRTUA MEDICAL GROUP, PA

PECOS Registration: Yes

Address:
107 BERLIN RD
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 428-1800
Get Directions

Brian Hugh Shannon, APN is a family nurse practitioner in Cherry Hill, NJ with 10 years of experience. Brian Hugh Shannon, APN NPI is 1003214842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

107 BERLIN RD
CHERRY HILL, NJ
ZIP 08034-526
Phone: (856) 428-1800
Fax: (856) 428-1081

The NPI 1003214842 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2014 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	26NJ00533400	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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