Individual provider · Type 1 NPI

Shannon Elizabeth Jackman Cowcer

Student in an Organized Health Care Education/Training Program · East Northport, NY

NPI number 1710620745 Active

Practice location

1205 Mcfadden Dr
East Northport, NY 11731-2721

Call (631) 375-5378 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710620745

Shannon Elizabeth Jackman Cowcer's National Provider Identifier is 1710620745, issued on Apr 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Northport, NY. The record was last updated on Apr 18, 2022.