Individual provider · Type 1 NPI

Nicholle Elizabeth Shannon, CRNP

Nurse Practitioner · Center Valley, PA

NPI number 1164094967 Active

Practice location

5445 Lanark Rd Fl 3
Center Valley, PA 18034-8694

Fax (866) 449-5832

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN673311 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164094967

Nicholle Elizabeth Shannon, CRNP's National Provider Identifier is 1164094967, issued on Jul 13, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Center Valley, PA. The record was last updated on Dec 13, 2021.