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SHANNON ELIZABETH JACKMAN COWCER
NPI 1710620745
Student in an Organized Health Care Education/Training Program in East Northport, NY

Active since April 18, 2022
1205 MCFADDEN DR, EAST NORTHPORT, NY 11731(631) 375-5378 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Elizabeth Jackman Cowcer NPPES

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

SHANNON ELIZABETH JACKMAN COWCER (NPI 1710620745) is an individual student in an organized health care education/training program in East Northport, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1710620745
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON ELIZABETH JACKMAN COWCER
Location Address1205 MCFADDEN DREast Northport, NY 11731-2721
Mailing Address1205 Mcfadden DrEast Northport, NY 11731-2721
Phone(631) 375-5378
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1710620745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1205 MCFADDEN DR, East Northport, NY 11731
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Frequently Asked Questions

What is Shannon Cowcer's NPI number?

The NPI number assigned to this healthcare provider is 1710620745, enumerated as an "individual" on April 18, 2022.

Where is the provider located?

The provider is located at 1205 MCFADDEN DR EAST NORTHPORT, NY 11731 and the phone number is (631) 375-5378.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.