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

Shannon Marie Nicosia, FNP

Individual provider Family Nurse Practitioner · NPI 1114539269

Shannon Marie Nicosia, FNP is a Family Nurse Practitioner in State College, Pennsylvania. Works from 2 locations. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

200 Scenery Dr
State College, PA 16801-7974
Phone: (570) 271-6516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Academy Ave, Danville, PA 17822-9764 — (570) 271-6516

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP025407 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 346354 (NY)

Record details

NPI number1114539269
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESNovember 13, 2023
Certification dateNovember 9, 2023

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