Mr. Shannon Eugene Carroll
Mr. Shannon Eugene Carroll is a Psychiatric/Mental Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
125 E 23rd St Ste 600New York, NY 10010-4580
Phone: (347) 525-8515
Fax: (520) 441-3322
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 401730 (NY) |
|---|
Record details
| NPI number | 1932515962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 10, 2014 |
| Last updated in NPPES | April 17, 2026 |
| Certification date | April 17, 2026 |
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