Individual
ALYSSA SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 J CLYDE MORRIS BLVD FL ANNEX1, NEWPORT NEWS, VA 23601-1929
(757) 594-3369
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009281
VA
Other
Enumeration date
08/19/2017
Last updated
08/02/2023
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