Individual
SHANNON CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13111 E. BRIARWOOD AVE #15, CENTENNIAL, CO 80112
(303) 632-3640
(303) 632-3642
Mailing address
13111 E. BRIARWOOD AVE #105, CENTENNIAL, CO 80112
(303) 632-3640
(303) 632-3642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4032
CO
363AM0700X
Medical Physician Assistant
5036
AZ
Other
Enumeration date
11/15/2011
Last updated
11/29/2017
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