Brian Hugh Shannon
Nurse Practitioner - Family Medicine
107 Berlin Rd
Cherry Hill
, New Jersey 08034-3526
Brian Hugh Shannon
Nurse Practitioner - Family Medicine
107 Berlin Rd
Cherry Hill
, New Jersey 08034-3526
(856) 355-0330
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Brian Hugh Shannon
- 301 Lippincott Dr Ste 410
- Marlton, NJ
- Zip : 08053-4197
- Fax : (856) 355-0330
- Phone : (856) 355-0340
Second Address
- Brian Hugh Shannon
- 107 Berlin Rd
- Cherry Hill, NJ
- Zip : 08034-3526
- Fax : (856) 428-1081
- Phone : (856) 428-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00533400 | NJ |
National Provider Identifier
| NPI | 1003214842 |
|---|---|
| Provider Name | Brian Hugh Shannon |
| First Address | Marlton, NJ 08053-4197 |
| Second Address | Cherry Hill, NJ 08034-3526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2014 |
| Last Update Date | 20/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.