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

Individual provider Pediatric Nurse Practitioner · NPI 1669446126

Tamara Jean Shannon, CPNP is a Pediatric Nurse Practitioner in Albuquerque, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2006
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-1221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 377 Th Medical Group, Kirtland Afb, NM 87117 — (505) 846-3701

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP-01796 (NM)

Record details

NPI number1669446126
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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