James, Shannon

James, Shannon is an individual health care provider with primary practice located at 7 Stevens St , Glens Falls NY 12801-3458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. James, Shannon can be contacted via phone (518) 321-4970.

Contact Information

Primary practice address
7 Stevens St Glens Falls NY 12801-3458
Phone: (518) 321-4970
Fax: (518) 240-4977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402426 New York

Profile Details

NPI number 1053898908
LBN Legal business name James, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Dec 3rd, 2024 - about 2 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 1053898908 NPPES
New York MEDICAID 05456937
New York MEDICAID 87-1041700

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