Individual provider · Type 1 NPI
Shannakay Juddian Thompson-White
Family Nurse Practitioner · Philadelphia, PA
NPI number
1073235578
Active
Practice location
1205 Shelmire Ave
Philadelphia, PA 19111-2726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NR19666000 (NJ) |
| Registered Nurse | 163W00000X | RN695502 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ01374700 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073235578
Shannakay Juddian Thompson-White's National Provider Identifier is 1073235578, issued on Jul 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 15, 2022.