Active NPIIndividual provider

Joy Shannon

Nurse Practitioner, Family in Fair Lawn, New Jersey

NPI Number1245927052
Practice location
22-02 Broadway, Fair Lawn, NJ 07410-3016
Fax
—
Last updated
April 19, 2024

Joy Shannon is a Nurse Practitioner, Family based in Fair Lawn, NJ. Joy Shannon practices in Fair Lawn, NJ. The NPI Number for Joy Shannon is 1245927052 and holds a License No. 26NJ01407600 (NJ). The current practice location address for Joy Shannon is 22-02 Broadway, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 551-299-2900.

Provider Profile Details

NPI Number
1245927052
Provider Name
Joy Shannon
Provider Entity Type
Individual
Gender
Female
Address
22-02 Broadway, Fair Lawn, NJ 07410-3016
Phone Number
551-299-2900
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2023
Last Update Date
April 19, 2024
Certification Date
April 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-02 Broadway
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
551-299-2900
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
10-12 Scott St
Newark, NJ 07102-3492
City
Newark
State
NJ
Zip
07102-3492
Phone Number
862-902-3094

License Information

License Number
26NJ01407600
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Joy Shannon?

The NPI number of Joy Shannon is 1245927052. It was assigned on April 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Joy Shannon?

Joy Shannon is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01407600.

Where does Joy Shannon practice?

The practice location is 22-02 Broadway, Fair Lawn, NJ 07410-3016. The office can be reached at 551-299-2900 (phone).

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 1245927052 directly on the NPPES registry website.

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