Individual provider · Type 1 NPI
Shannon Walsh, FNP-C
Nurse Practitioner · Newark, NJ
Practice location
150 Bergen St
Newark, NJ 07103-2496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ15694000 (NJ) |
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 1689572497
Shannon Walsh, FNP-C's National Provider Identifier is 1689572497, issued on Oct 30, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, NJ. The record was last updated on Oct 30, 2026.