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Individual
SHANNON DIGNAN
Active
Individual
SHANNON DIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1160596
—
363A00000X
Physician Assistant
25MP00517900
NJ
363A00000X
Physician Assistant
Primary
MA060516
PA
363AM0700X
Medical Physician Assistant
MA060516
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160596
NCCPA
—
01
—
25MP00517900
STATE OF NJ: PHYSICIAN ASSISTANT ADVISORY COMMITTEE
NJ
01
—
MA060516
PENNSYLVANIA LICENSING SYSTEM
PA
Enumeration date
04/15/2019
Last updated
06/22/2025
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