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Gina Shannon, LPN
Licensed Practical Nurse in Selden, New York
NPI 1568610079

Gina Shannon is a Licensed Practical Nurse based in Selden, NY. Gina Shannon practices in Selden, NY and has the professional credentials of LPN. The NPI Number for Gina Shannon is 1568610079 and holds a License No. 288813 (New York).

The current practice location address for Gina Shannon is 42 Mallard Ave, Selden, NY and can be reached out via phone at 631-451-1781.

Location: 42 Mallard Ave, Selden, NY, 11784-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568610079
Provider Name
Gina Shannon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
42 Mallard Ave, Selden, NY, 11784-1752
Phone Number
631-451-1781
Fax Number
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 Mallard Ave
City
Selden
State
New York
Zip
11784-1752
Phone Number
631-451-1781
Fax Number
person
Provider Business Mailing Address Details
Address
42 Mallard Ave
City
Selden
State
New York
Zip
11784-1752
Phone Number
631-451-1781
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
288813 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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