Foley, Shannon Jean

Foley, Shannon Jean is an sole proprietor health care provider with primary practice located at 9748 Stephen Decatur Hwy Ste 104 , Ocean City MD 21842-9358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Foley, Shannon Jean can be contacted via phone (410) 390-5954.

Contact Information

Primary practice address
9748 Stephen Decatur Hwy Ste 104 Ocean City MD 21842-9358
Phone: (410) 390-5954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X LP-0010585 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R140287 Maryland

Profile Details

NPI number 1639894165
LBN Legal business name Foley, Shannon Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2022
Last updated Dec 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639894165 NPPES
Maryland Other R140287 MARYLAND LICENSE
Maryland Other 0125008 MARYLAND LICENSE
Maryland Other LP0010585 MARYLAND LICENSE

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