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Contact Information

SHANNON STOLL
700 AIRPORT RD
LAKEWOOD TOWNSHIP, NJ08701-5907
 Phone: 732-458-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANNON STOLL · (Female)

NPI Number 1194220483
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2018
Last updated 03/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00814100
  • NJ Other 26NJ00814100 NJ STATE BOARD OF NURSING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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