Active NPIIndividual providerSole proprietor

Shannon M Ross, FNP

Nurse Practitioner, Family in Waldwick, New Jersey

NPI Number1447845607
Practice location
140 Franklin Tpke, Waldwick, NJ 07463-1847
Fax
—
Last updated
June 14, 2021

Shannon Marie Ross is a Nurse Practitioner, Family based in Waldwick, NJ. Shannon Marie Ross practices in Waldwick, NJ and has the professional credentials of FNP. The NPI Number for Shannon Marie Ross is 1447845607 and holds a License No. 26NR18744700 (NJ). The current practice location address for Shannon Marie Ross is 140 Franklin Tpke, Waldwick, NJ 07463-1847 and can be reached out via phone at 201-447-3603.

Provider Profile Details

NPI Number
1447845607
Provider Name
Shannon Marie Ross
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
140 Franklin Tpke, Waldwick, NJ 07463-1847
Phone Number
201-447-3603
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2021
Last Update Date
June 14, 2021
Certification Date
June 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Franklin Tpke
Waldwick, NJ 07463-1847
Zip
07463-1847
Phone Number
201-447-3603
Waldwick, NJ 07463Get directions →

Provider Business Mailing Address Details

Address
48 3RD St
Pequannock, NJ 07440-1219
City
Pequannock
State
NJ
Zip
07440-1219
Phone Number
973-349-4009

License Information

License Number (1)
26NR18744700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Emergency · 163WE0003X
License Number (2)
26NJ01164000
License State (2)
NJ
Taxonomy (2)
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 Shannon M Ross, FNP?

The NPI number of Shannon M Ross, FNP is 1447845607. It was assigned on March 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon M Ross, FNP?

Shannon M Ross, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR18744700.

Where does Shannon M Ross, FNP practice?

The practice location is 140 Franklin Tpke, Waldwick, NJ 07463-1847. The office can be reached at 201-447-3603 (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 1447845607 directly on the NPPES registry website.

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