Active NPIIndividual provider

Shannon Bucciarelli, NP

Nurse Practitioner, Psych/Mental Health in Clementon, New Jersey

NPI Number1700543972
Practice location
1395 Chews Landing RD, Clementon, NJ 08021-2760
Fax
—
Last updated
January 26, 2022

Shannon Bucciarelli is a Nurse Practitioner, Psych/Mental Health based in Clementon, NJ. Shannon Bucciarelli practices in Clementon, NJ and has the professional credentials of NP. The NPI Number for Shannon Bucciarelli is 1700543972 and holds a License No. 26NJ01224200 (NJ). The current practice location address for Shannon Bucciarelli is 1395 Chews Landing RD, Clementon, NJ 08021-2760 and can be reached out via phone at 855-239-5099.

Provider Profile Details

NPI Number
1700543972
Provider Name
Shannon Bucciarelli
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1395 Chews Landing RD, Clementon, NJ 08021-2760
Phone Number
855-239-5099
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2021
Last Update Date
January 26, 2022
Certification Date
January 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1395 Chews Landing RD
Clementon, NJ 08021-2760
Zip
08021-2760
Phone Number
855-239-5099
Clementon, NJ 08021Get directions →

Provider Business Mailing Address Details

Address
1395 Chews Landing RD
Clementon, NJ 08021-2760
City
Clementon
State
NJ
Zip
08021-2760
Phone Number
855-239-5099

License Information

License Number
26NJ01224200
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Bucciarelli, NP?

The NPI number of Shannon Bucciarelli, NP is 1700543972. It was assigned on November 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Shannon Bucciarelli, NP?

Shannon Bucciarelli, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01224200.

Where does Shannon Bucciarelli, NP practice?

The practice location is 1395 Chews Landing RD, Clementon, NJ 08021-2760. The office can be reached at 855-239-5099 (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 1700543972 directly on the NPPES registry website.

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