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NPI Code Detail

MEDICARE: SHANICE JUNOR

MEDICARE: SHANICE JUNOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner26NJ15498300NJ

General Provider Information

NPI Number : 1700743036
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANICE JUNOR
Provider Business Mailing Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number : 908-409-3306
Fax Number :
Provider Business Practice Location Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number : 908-409-3306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ SHANICE JUNOR ” Practice Location

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