person
Mrs. Shannon Johnson Younger, PA-C
Medical Physician Assistant in Columbus, Mississippi
NPI 1164961629

Shannon Johnson Younger is a Medical Physician Assistant based in Columbus, MS and is specialized in Medical. Shannon Johnson Younger practices in Columbus, MS and has the professional credentials of PA-C. The NPI Number for Shannon Johnson Younger is 1164961629 and holds a License No. PA9110198 (Mississippi).

The current practice location address for Shannon Johnson Younger is 724 Leigh Dr, Columbus, MS and can be reached out via phone at 662-328-3375 and via fax at 662-328-3395.

Location: 724 Leigh Dr, Columbus, MS, 39705-3098
person
Provider Profile Details
NPI Number
1164961629
Provider Name
Shannon Johnson Younger
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
724 Leigh Dr, Columbus, MS, 39705-3098
Phone Number
662-328-3375
Fax Number
662-328-3395
Provider Enumeration Date
02/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9110198 01 FL 59-2455010
PA00395 01 MS MISSISSIPPI PA CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
724 Leigh Dr
City
State
Zip
39705-3098
Phone Number
662-328-3375
Fax Number
662-328-3395
person
Provider Business Mailing Address Details
Address
724 Leigh Dr
City
State
Zip
39705-3098
Phone Number
662-328-3375
Fax Number
662-328-3395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9110198 (Florida)
Definition
Definition to come...
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