NPI 1023582905

Shannon Lynette Ellison

Practitioner Community Health Worker Bronx, NY

Practice location

Address: 529 Courtlandt Ave, Bronx, NY 10451-5007
Phone: (718) 993-7700
Mailing address: 950 Evergreen Ave, Bronx, NY 10473-4507

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in New York →

Registry record

NPI: 1023582905
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2019
Record last updated: 14 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.