TRACY SHANNON

JERSEY CITY, NJ
NPI1992391320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  345858)
Enumeration Date2020-12-20
Last Update Date2021-07-02
Business Address
TRACY SHANNON
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302-3726
Phone number: 201-433-1955
Mailing Address
TRACY SHANNON
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302-3726
Phone number: 201-433-1955
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