Individual provider · Type 1 NPI
Shannon Novak
Family Nurse Practitioner · Red Bank, NJ
NPI number
1205763778
Active
Practice location
258 Broad St Ste 3
Red Bank, NJ 07701-2036
Fax (732) 383-8196
Mailing address
9 Bridgewaters Dr Apt 23
Oceanport, NJ 07757-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11047425 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ155572200 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205763778
Shannon Novak's National Provider Identifier is 1205763778, issued on May 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Red Bank, NJ. The record was last updated on May 11, 2026.