Individual provider · Type 1 NPI

Shawnna Marie McGannon, NP

Adult Health Nurse Practitioner · Prescott, AZ

NPI number 1417888249 Active

Practice location

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614

Fax (928) 778-3026

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X335168 (AZ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1417888249

Shawnna Marie McGannon, NP's National Provider Identifier is 1417888249, issued on May 28, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prescott, AZ. The record was last updated on May 28, 2026.