Jennifer Shannon, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

071912-23 Issued in NH

Practice address

60 N 36TH St
Philadelphia, PA 19104-5639

Phone

(267) 359-5693

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1295547974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 OLD MANCHESTER RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N 36TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045639",
            "telephone_number": "267-359-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "071912-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umanathan Shanmugam, MSW, LBS, CCBT
• Sheila Shanmugan
• Shannins Doula Services
• Colleen Moran Shannon, MD
• Eileen M. Shannon, CRNA
• Megan Shannon, MD
• Shenoah M Shannon
• Steven Shannon, DPM
• Rachel Joy Shanok, MS, PT
• Angela Sue Shanter, M.S., C.G.C.

• Acute Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.