Active NPIIndividual providerSole proprietor

Jacqueline Shannon

Physical Therapist, Pediatrics in Nashua, New Hampshire

NPI Number1194137356
Practice location
20 Industrial Park Drive, Nashua, NH 03062
Fax
603-882-4545
Last updated
September 8, 2020

Jacqueline Shannon is a Physical Therapist, Pediatrics based in Nashua, NH. Jacqueline Shannon practices in Nashua, NH. The NPI Number for Jacqueline Shannon is 1194137356 and holds a License No. 21110 (MA). The current practice location address for Jacqueline Shannon is 20 Industrial Park Drive, Nashua, NH 03062 and can be reached out via phone at 603-882-4500 and via fax at 603-882-4545.

Provider Profile Details

NPI Number
1194137356
Provider Name
Jacqueline Shannon
Provider Entity Type
Individual
Gender
Female
Address
20 Industrial Park Drive, Nashua, NH 03062
Phone Number
603-882-4500
Fax Number
603-882-4545
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
Yes
Other Names
Jacqueline Therrien (Former Name)
Provider Enumeration Date
May 22, 2014
Last Update Date
September 8, 2020
Certification Date
September 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Industrial Park Drive
Nashua, NH 03062
City
Nashua
Zip
03062
Phone Number
603-882-4500
Fax Number
603-882-4545
Nashua, NH 03062Get directions →

Provider Business Mailing Address Details

Address
20 Industrial Park Drive
Nashua, NH 03062
City
Nashua
State
NH
Zip
03062
Phone Number
603-882-4500
Fax Number
603-882-4545

License Information

License Number
21110
License State
MA
Taxonomy
Physical Therapist, Pediatrics · 2251P0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline Shannon?

The NPI number of Jacqueline Shannon is 1194137356. It was assigned on May 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Shannon?

Jacqueline Shannon is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in MA under license number 21110.

Where does Jacqueline Shannon practice?

The practice location is 20 Industrial Park Drive, Nashua, NH 03062. The office can be reached at 603-882-4500 (phone) or 603-882-4545 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194137356 directly on the NPPES registry website.

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