person
Shannon Michael Gennette
Family Nurse Practitioner in San Jose, California
NPI 1336786144

Shannon Michael Gennette is a Family Nurse Practitioner based in San Jose, CA and is specialized in Family. Shannon Michael Gennette practices in San Jose, CA. The NPI Number for Shannon Michael Gennette is 1336786144 and holds a License No. 95012678 (California).

The current practice location address for Shannon Michael Gennette is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-885-2454.

Location: 751 S Bascom Ave, San Jose, CA, 95128-2699
person
Provider Profile Details
NPI Number
1336786144
Provider Name
Shannon Michael Gennette
Credential
Provider Entity Type
Individual
Gender
Male
Address
751 S Bascom Ave, San Jose, CA, 95128-2699
Phone Number
408-885-2454
Fax Number
Provider Enumeration Date
11/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
State
Zip
95128-2699
Phone Number
408-885-2454
Fax Number
person
Provider Business Mailing Address Details
Address
751 S Bascom Ave
City
State
Zip
95128-2699
Phone Number
408-885-2454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95012678 (California)
Definition
Definition to come...
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