TRACY SHANNON NPI 1992391320

NPI Information

Tracy Shannon is a family nurse practitioner in Jersey City, NJ. Tracy Shannon NPI is 1992391320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 MONTGOMERY ST FL 603
JERSEY CITY, NJ
ZIP 07302-726
Phone: (201) 433-1955

The enumeration date for this NPI number is 12/20/2020 and was last updated on 7/2/2021.

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:

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