SHANIQUE SOUFFRANT ARNP-CNP, FNP-BC
NPI 1104608504
Nurse Practitioner - Family in Boston, MA

Active since October 19, 2023
300 THE FENWAY, BOSTON, MA 02115(617) 521-2000 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanique Souffrant Arnp-cnp, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANIQUE SOUFFRANT ARNP-CNP, FNP-BC (NPI 1104608504) is an individual family provider in Boston, Massachusetts, licensed in Florida (11029239) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1104608504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANIQUE SOUFFRANTCredential: ARNP-CNP, FNP-BC
Location Address300 THE FENWAYBoston, MA 02115-5820
Mailing Address300 The FenwayBoston, MA 02115-5820
Sole ProprietorNo
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
NPI 1104608504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11029239
300 THE FENWAY, Boston, MA 02115

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
300 THE FENWAY
BOSTON, MA 02115
Social Worker (Clinical)
300 THE FENWAY
BOSTON, MA 02115
Clinical Exercise Physiologist
300 THE FENWAY, BIOLOGY DEPT
BOSTON, MA 02115
Registered Nurse (Home Health)
300 THE FENWAY
BOSTON, MA 02115
Nurse Practitioner (Family)
300 THE FENWAY
BOSTON, MA 02115
Nurse Practitioner (Family)
300 THE FENWAY
BOSTON, MA 02115
Social Worker (Clinical)
300 THE FENWAY
BOSTON, MA 02115
Specialist/Technologist (Athletic Trainer)
300 THE FENWAY
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanique Souffrant's NPI number?

The NPI number for Shanique Souffrant is 1104608504. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is Shanique Souffrant located?

Shanique Souffrant practices at 300 The Fenway, Boston, MA 02115. The listed phone number is (617) 521-2000.

What is Shanique Souffrant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shanique Souffrant was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.