Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannakay Juddian Thompson-White

Individual provider Registered Nurse · NPI 1073235578

Shannakay Juddian Thompson-White is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Complete Care of South Jersey, an 8-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
4
Licensed in
NJ, PA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1205 Shelmire Ave
Philadelphia, PA 19111-2726
Phone: (856) 392-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01374700 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR19666000 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN695502 (PA)

Record details

NPI number1073235578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Complete Care Of South Jersey — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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