Shannon L. Ryan PA-C
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Shannon Louise Ryan PA-C
NPI Number
1811600596
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/28/2022
Specialties
(Taxonomies)Code
363AM0700X
171000000X
Primary Taxonomy
Yes
No
Licenses
State
Michigan
License Number
5601011451
Contact
Information
Purpose
Mailing
Location
Address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD ST
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32214-0001
32214-0001
Country
US
US
Telephone Number
N/A
(904) 542-7300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/14/2023
Provider Address
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