National Provider Identifier
Shannon R Connolly
Shannon R Connolly is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 732-5500.
Source: public NPPES record, last updated February 17, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1518637503
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 20, 2021
- Last Updated
- February 17, 2023
Practice Location
- 75 Francis St
- Boston, MA 02115-6110
Phone: (617) 732-5500
Mailing Address
- 153 Old Oaken Bucket RD
- Norwell, MA 02061-1320
Specialties
- Physician Assistant (363A00000X)
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Biography
Shannon R. Connolly is a Boston-based physician assistant with Brigham and Women’s Physicians Organization. Public profiles list her hospital affiliations with Brigham and Women’s Hospital and Brigham and Women’s Faulkner Hospital, and note that she completed physician assistant training at Emory University School of Medicine in 2022.
Full Record
- NPI
- 1518637503
- Entity Type
- Individual
- Last Name
- Connolly
- First Name
- Shannon
- Middle Name
- R
- Mailing Street Address
- 153 Old Oaken Bucket RD
- Mailing City
- Norwell
- Mailing State
- MA
- Mailing ZIP Code
- 02061-1320
- Mailing Country
- US
- Mailing Phone
- (781) 985-2661
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-5500
- Enumeration Date
- September 20, 2021
- Last Updated
- February 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- February 17, 2023
- Taxonomies
- Physician Assistant (363A00000X)