Most Relevant Information
Provider Data
| NPI Number: | 1003214842 |
| Provider Name: | BRIAN HUGH SHANNON APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00533400 |
Most Important Dates
| Enumeration Date: | 12/10/2014 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
1138 E CHESTNUT AVE STE 8B
VINELAND
NJ
083605053
Practice Location Phone/Fax
| Phone: | 8562139733 |
| Fax: | 8565755080 |
Provider Mailing Location
301 LIPPINCOTT DR STE 410
MARLTON
NJ
080534197
Provider Mailing Phone/Fax
| Phone: | 8562477210 |
| Fax: | 8562477511 |