Shannon Nicole Evans
Physician Assistant, Medical in Somerset, NJ. Individual provider (NPI-1).
NPI number1689187635
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1689187635
- Entity type
- Individual (NPI-1)
- Name
- Shannon Nicole Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Certification date
- Aug 10, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
59 Veronica Ave Ste 201Somerset, NJ 08873-3579
Phone 732-828-0200
Mailing address
254 Easton AveNew Brunswick, NJ 08901-1766
Phone 732-745-8600
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