Individual provider · Type 1 NPI

Jeannine Shively, PA-C

Physician Assistant · San Diego, CA

NPI number 1164688529 Active

Practice location

6645 Alvarado Rd # 415
San Diego, CA 92120-5208

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X19841 (CA)

Physician Assistant: 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, orde…

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About NPI 1164688529

Jeannine Shively, PA-C's National Provider Identifier is 1164688529, issued on Aug 5, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 5, 2008.