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Shannon Stoll
Psychiatric/Mental Health Nurse Practitioner in Lakewood, New Jersey
NPI 1194220483

Shannon Stoll is a Psychiatric/Mental Health Nurse Practitioner based in Toms River, NJ and is specialized in Psychiatric/Mental Health. Shannon Stoll practices in Lakewood, NJ. The NPI Number for Shannon Stoll is 1194220483 and holds a License No. 26NJ00814100 (New Jersey).

The current practice location address for Shannon Stoll is 700 Airport Rd, Lakewood, NJ and can be reached out via phone at 732-458-1700.

Location: 700 Airport Rd, Lakewood, NJ, 08753-3354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194220483
Provider Name
Shannon Stoll
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 Airport Rd, Lakewood, NJ, 08753-3354
Phone Number
732-458-1700
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26NJ00814100 01 NJ NJ STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
700 Airport Rd
City
Lakewood
State
New Jersey
Zip
08701-5907
Phone Number
732-458-1700
Fax Number
person
Provider Business Mailing Address Details
Address
700 Airport Rd
City
Lakewood
State
New Jersey
Zip
08701-5907
Phone Number
732-458-1700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ00814100 (New Jersey)
Definition
Definition to come...
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