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Justin R Shannon, NP
Nurse Practitioner in Redding, California
NPI 1093745655

Justin R Shannon is a Nurse Practitioner based in Emeryville, CA. Justin R Shannon practices in Redding, CA and has the professional credentials of NP. The NPI Number for Justin R Shannon is 1093745655 and holds a License No. PA15715 (California).

The current practice location address for Justin R Shannon is 2175 Rosaline Ave, Redding, CA and can be reached out via phone at 530-225-6000 and via fax at 818-587-2493.

Location: 2175 Rosaline Ave, Redding, CA, 94608-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093745655
Provider Name
Justin R Shannon
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2175 Rosaline Ave, Redding, CA, 94608-1844
Phone Number
530-225-6000
Fax Number
818-587-2493
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN559900 05 CA
P00249929 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2175 Rosaline Ave
City
Redding
State
California
Zip
96001-2509
Phone Number
530-225-6000
Fax Number
818-587-2493
person
Provider Business Mailing Address Details
Address
2175 Rosaline Ave
City
Redding
State
California
Zip
96001-2509
Phone Number
530-225-6000
Fax Number
818-587-2493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
PA15715 (California)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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