National Provider Identifier

Shaynon Lee Austin, NP

Shaynon Lee Austin, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2123.

NPI 1255094264Newark, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1255094264
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
October 17, 2021
Last Updated
October 17, 2021

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1090

Phone: (315) 359-2123

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1255094264
Entity Type
Individual
Last Name
Austin
First Name
Shaynon
Middle Name
Lee
Credential
NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(315) 359-2123
Mailing Fax
(315) 359-2167
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(315) 359-2123
Practice Fax
(315) 359-2167
Enumeration Date
October 17, 2021
Last Updated
October 17, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)