Individual provider · Type 1 NPI

Shannon Nicole Frederick, PAC

Medical Physician Assistant · Doylestown, PA

NPI number 1194987123 Active

Practice location

14 Memorial Dr, Suite A
Doylestown, PA 18901

Call (215) 348-2992 Map

Fax (215) 348-2052

Mailing address

1456 Ferry Rd, Ste 402
Doylestown, PA 18901-2307

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA003232L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1194987123

Shannon Nicole Frederick, PAC's National Provider Identifier is 1194987123, issued on Jul 1, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Doylestown, PA. The record was last updated on Apr 13, 2018.