Individual
SHANNON LEIGH BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-1110
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5275
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010197
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2023
Last updated
03/19/2026
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