Shannon Michelle Whitaker in Wilmington - Physician Assistant
Shannon Michelle Whitaker - NPI 1033194931
Shannon Michelle Whitaker is a Physician Assistant in Wilmington, North Carolina. Shannon Michelle Whitaker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Michelle Whitaker is 1033194931. The last update date is 2023-03-07.
Shannon Michelle Whitaker's current location address is 1025 Medical Center Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103411886 and fax number 9103436019. The mailing address for Shannon Michelle Whitaker is 1025 Medical Center Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Michelle Whitaker |
|---|---|
| Address | 1025 Medical Center Dr, Wilmington, North Carolina |
| Phone Number | 9103411886 |
| Fax Number | 9103436019 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033194931 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1025 Medical Center Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 28401 |
| Phone Number | 9103411886 |
| Fax Number | 9103436019 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 101405 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2743473C | NC | MEDICARE | |
| 7901897 | NC | -- | |
| 970010711 | NC | RR MEDICARE | |
| 8901898 | NC | -- | |
| 101405 | NC | MEDICAL LICENSE |
Post Comment/ Review Below
Could you kindly provide the complete physical address where Shannon Michelle Whitaker's facilities are geographically located?
The facilities of Shannon Michelle Whitaker are physically situated at the following location: 1025 Medical Center Dr, Wilmington, NC, 28401.
What is Shannon Michelle Whitaker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Michelle Whitaker's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Shannon Michelle Whitaker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Michelle Whitaker is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033194931 to Shannon Michelle Whitaker?
The Centers for Medicare & Medicaid Services assigned the 1033194931 to Shannon Michelle Whitaker on 2005-12-13.
As of what date was the information regarding Shannon Michelle Whitaker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Michelle Whitaker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.