Individual
SHANNON JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2143
(352) 265-5911
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT018266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112150600
—
FL
Enumeration date
05/17/2018
Last updated
07/22/2025
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