Individual provider · Type 1 NPI

Shannon Christina Johnson, PA-C

Medical Physician Assistant · Centennial, CO

NPI number 1295012508 Active

Practice location

13111 E. Briarwood Ave #15
Centennial, CO 80112

Call (303) 632-3640 Map

Fax (303) 632-3642

Mailing address

13111 E. Briarwood Ave #105
Centennial, CO 80112

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5036 (AZ)
Medical Physician Assistant Primary 363AM0700X4032 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1295012508

Shannon Christina Johnson, PA-C's National Provider Identifier is 1295012508, issued on Nov 15, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Centennial, CO. The record was last updated on Nov 29, 2017.