Individual provider · Type 1 NPI
Shannon Gibbons, PA-C
Medical Physician Assistant · Fallston, MD
NPI number
1316190150
Active
Practice location
1814 Bel Air Rd Ste 100
Fallston, MD 21047-2736
Fax (410) 769-8803
Mailing address
120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536
Other practice locations
- 230 Washington Heights Med Ctr, Westminster, MD 21157-5633 · (410) 848-4424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0003837 (MD) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1316190150
Shannon Gibbons, PA-C's National Provider Identifier is 1316190150, issued on Oct 24, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fallston, MD. The record was last updated on Sep 1, 2023.