Individual provider · Type 1 NPI

Shannon Nicole Evans

Medical Physician Assistant · Somerset, NJ

NPI number 1689187635 Active

Practice location

59 Veronica Ave Ste 201
Somerset, NJ 08873-3579

Mailing address

254 Easton Ave
New Brunswick, NJ 08901-1766

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1689187635

Shannon Nicole Evans's National Provider Identifier is 1689187635, issued on Nov 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Somerset, NJ. The record was last updated on Oct 3, 2023.