Individual provider · Type 1 NPI
Shannon Michael Gennette
Family Nurse Practitioner · San Jose, CA
NPI number
1336786144
Active
Practice location
751 S Bascom Ave
San Jose, CA 95128-2699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95012678 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336786144
Shannon Michael Gennette's National Provider Identifier is 1336786144, issued on Nov 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jose, CA. The record was last updated on Nov 30, 2019.