Shannon, Tamara Jean
Shannon, Tamara Jean is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shannon, Tamara Jean can be contacted via phone (505) 272-1221.Contact Information
Primary practice address
2211 Lomas Blvd Ne
Albuquerque NM 87106-2719
Phone: (505) 272-1221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CNP-01796 | New Mexico |
Profile Details
| NPI number | 1669446126 |
|---|---|
| LBN Legal business name | Shannon, Tamara Jean |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 22nd, 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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