Justin R Shannon in Redding - Nurse Practitioner
Justin R Shannon - NPI 1093745655
Justin R Shannon is a Nurse Practitioner in Redding, California. Justin R Shannon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Justin R Shannon is 1093745655. The last update date is 2017-10-18.
Justin R Shannon's current location address is 2175 Rosaline Ave, Redding, California. You can contact this provider via phone number 5302256000 and fax number 8185872493. The mailing address for Justin R Shannon is 2175 Rosaline Ave, Redding, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin R Shannon |
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Address | 2175 Rosaline Ave, Redding, California |
Phone Number | 5302256000 |
Fax Number | 8185872493 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1093745655 |
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Provider Enumeration Date | 2006-07-03 |
Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
Address | 2175 Rosaline Ave |
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City | Redding |
State | California (CA) |
Post Code | 9600125090 |
Phone Number | 5302256000 |
Fax Number | 8185872493 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | PA15715 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
RN559900 | CA | -- | |
P00249929 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Justin R Shannon by the Centers for Medicare & Medicaid Services?
The Justin R Shannon has been assigned the NPI (National Provider Identifier) 1093745655. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Justin R Shannon is geographically located?
The Justin R Shannon is physically situated at the following location: 2175 Rosaline Ave, Redding, CA, 9600125090.
What is Justin R Shannon's area of expertise and its corresponding taxonomy classification?
The Justin R Shannon's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Justin R Shannon receive its 1093745655 assignment from the Centers for Medicare & Medicaid Services?
The Justin R Shannon was assigned its 1093745655 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the details pertaining to Justin R Shannon last refreshed?
The information related to the Justin R Shannon, including its address, specialty, and other relevant details, was last updated on 2017-10-18.