Individual provider · Type 1 NPI

Shannon Elisa Heffernan, MD

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1023697679 Active

Practice location

155 N Fresno St
Fresno, CA 93701-2302

Call (559) 499-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X81155 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023697679

Shannon Elisa Heffernan, MD's National Provider Identifier is 1023697679, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Mar 28, 2024.