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Ms. Shannon Dre Chisholm, PA-C
Physician Assistant in Key West, Florida
NPI 1700824638

Shannon Dre Chisholm is a Physician Assistant based in Key West, FL. Shannon Dre Chisholm practices in Key West, FL and has the professional credentials of PA-C. The NPI Number for Shannon Dre Chisholm is 1700824638 and holds a License No. PA02625 (Florida).

The current practice location address for Shannon Dre Chisholm is 3706 N Roosevelt Blvd, Key West, FL and can be reached out via phone at 305-517-6613 and via fax at 305-517-6614. You can also correspond with Shannon Dre Chisholm through the mailing address at 3706 N ROOSEVELT BLVD, KEY WEST, FL - 33040-4566 (mailing address contact number: 305-517-6613).

Location: 3706 N Roosevelt Blvd, Key West, FL, 33040-4566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700824638
Provider Name
Shannon Dre Chisholm
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3706 N Roosevelt Blvd, Key West, FL, 33040-4566
Phone Number
305-517-6613
Fax Number
305-517-6614
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
216178801 05 TX
P00800517 01 TX RAILROAD MEDICARE
P01064726 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3706 N Roosevelt Blvd
City
Key West
State
Florida
Zip
33040-4566
Phone Number
305-517-6613
Fax Number
305-517-6614
person
Provider Business Mailing Address Details
Address
3706 N Roosevelt Blvd
City
Key West
State
Florida
Zip
33040-4566
Phone Number
305-517-6613
Fax Number
305-517-6614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9107966 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA02625 (Texas)
Definition
Definition to come...
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