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

Shannon Elizabeth Jackman Cowcer

Individual provider Athletic Trainer · NPI 1710620745

Shannon Elizabeth Jackman Cowcer is an Athletic Trainer in East Northport, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1205 McFadden Dr
East Northport, NY 11731-2721
Phone: (631) 375-5378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1710620745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

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