Individual provider · Type 1 NPI

Shannon Ballard, PA-C

Medical Physician Assistant · Newcastle, WY

NPI number 1962723130 Active

Practice location

1124 Washington Blvd
Newcastle, WY 82701-2972

Call (307) 746-3700 Map

Mailing address

2801 Purcell St
Brighton, CO 80601-3551

Other practice locations

  • 921 Ballancee Ave, Lusk, WY 82225-5245 · (720) 316-6903

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

14 other providers at this address

About NPI 1962723130

Shannon Ballard, PA-C's National Provider Identifier is 1962723130, issued on Jun 22, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newcastle, WY. The record was last updated on Dec 31, 2025.