Individual provider · Type 1 NPI

Shannon Proctor, NP

Family Nurse Practitioner · Penn Yan, NY

NPI number 1053984716 Active

Practice location

418 N Main St
Penn Yan, NY 14527-1070

Mailing address

200 North St
Geneva, NY 14456-1561

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X347873 (NY)

Family Nurse Practitioner: Definition to come...

33 other providers at this address

Other family nurse practitioner providers in Penn Yan

See all in Penn Yan →

About NPI 1053984716

Shannon Proctor, NP's National Provider Identifier is 1053984716, issued on Jul 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Penn Yan, NY. The record was last updated on Aug 17, 2026.