James, Shannon

James, Shannon is an individual health care provider with primary practice located at 84 Broad St Ste 2 , Glens Falls NY 12801-4381. 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) 636-5284.

Contact Information

Primary practice address

84 Broad St Ste 2 Glens Falls NY 12801-4381

Phone: (518) 636-5284

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	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	Mar 30th, 2022 - 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

State	Type	Number	Issuer
All States	NPI	1053898908	NPPES
New York	MEDICAID	87-1041700

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